Laserfiche WebLink
M�����'( p���ilB� a��L��C��`���� . <br /> ���1f �f� ��9���o'� ����8� ���@90C��� <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-88t0 - FAX425-257-8857—www.evereriwa.org <br /> --� �"" �� ���) <br /> PROJ�DRESS <br /> • (� � 7�2 �J�.��CQ . �30 --2�8 <br /> Property Wf1Ef NiailAddtess <br /> City Sta�P Phana <br /> ����n�, <br /> Tenant Name(IF this is for a commercial business) <br /> (`iZS) <br /> I1 wp�-�- C��y,2Q� z-�ti--�l.�i'S�i <br /> l�-.�C ��C.l�� �ittL�iG'1 162. �U� ..r-_i�:� L� 5`-'�P Phone <br /> Contracror <br /> Mail Addrnss ��ty <br /> ��'��..�.i 5� �� 1 I�. t- �-�� ���f� <br /> WA Stete.Contractar License Number(reqwred) City of F :tett Business License Number(reqmred) <br /> Wortc Co be done' <br /> ❑ Side Sewer ftepair <br /> � Side Sewer Alteration <br /> ❑ Side Sewer—New Installation <br /> E�Install Backwater Vaive outside the building) <br /> O Cap ofi Sewer <br /> ❑ Install Water Meter Fee <br /> � 3D � � <br /> /I �b — lZ -- (� PERMIT# ('''' <br /> � ,:../f � Date �6A � �O�_ � I _" <br /> Sig aty / <br /> REVISED fld9�101a � <br />