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• <br /> UTIpu T <br /> 111- PPL1,2`ATION <br /> CITY SF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> ; o EMf) \ E .) <br /> PROJECT ADDRESS <br /> r\ i3D7 • r/f • <br /> Property Owner Mail Address City State/Zip Phone <br /> Tenant Name(If this is for a commercial business) <br /> Ca �� <' <br /> Pl6 S"5�I gum-•6J cIS-?-��(0 <br /> Contractor Mail Address City State/Zip Phone <br /> cArviPR? 1917 MS 0 LI 1 '703 <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> • <br /> ❑ Side Sewer— New Installation <br /> Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> 46'' I l PERMIT# <br /> Slg ature Date U - {1!/`o <br /> J�JIVT'wl v <br /> REVISED 11/19/2014 <br />