Laserfiche WebLink
WATER/SEWER UTILITY PERMIT AF'PLICATION <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857-vNrv+everethva.gov <br />L%�s� �� <br />� -a�k �� S <br />� � OS I (o � 5�- <br />PROJECT ADDRESS <br />� I a, v�. <br />Property O:•+ner <br />N"Vl �7os IC�a� S�- <br />I.'a I ndtlress CiN <br />sc,�erz��, <br />9 F��-0 <br />GhGne <br />Tenant Name (I( ih�s �s br a commercial Cusinessi <br />�jOr-/� 7S U - `ETtj�r� <br />5-2r vC,v �Ja�-e+� ��e�.� l ��- �v i�� i�s� e"�for�,lf� wR 9d 3�d <br />ContraCor t: a�i Accress G"� S�ate/Im :'nora � <br />��R�c�JSBs�I �� 5�1�05 <br />VJA �cate Cort aclor Lice�^�se Ni.n�.h�,r irequ�redi Gry of EvereC B����siness License Number (reqmred) <br />Work to be done: <br />� Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer - New Installalion <br />❑ Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />ctv5E0 n;i:;�<�� <br />g �-a�I - � s <br />- o:,.� <br />� FEE ---- - -- <br />�� �O� <br />�, vERr��n <br />�� � 50�1' 0(�'� <br />