Laserfiche WebLink
UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> PROJECT ADDRESS J , <br /> Property Owner Mail Address City State/Zip Phone <br /> Fc, « �� <br /> Tenant Name (If this is for a commercial business) <br /> / 9/ i h(I 1 LL C d7.6 writ vtItr,' Z 3 <br /> Contractor Mail Adces City State/Zip Phone <br /> /U A.HOUPL (e3 <br /> WA S ate License Number(required) City of Everett Business License Number(required) <br /> p/t., //P <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> nstall Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> (+0 2i3J 5 PERMIT# <br /> Si e Dat U <br /> REVISED 11/19/2014 <br />