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• <br /> • <br /> 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 <br /> evetf�; w6 9 1 <br /> Property Owner Mail Address City State/Zip Phone <br /> Tenant Name (If this is for a commercial business) <br /> St/:--7 7/51.-Ave vf//e- "s7—/S7 <br /> Contractor Mail Address - City State/Zip Phone <br /> 4-Pe;G PL ,9o3'- <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> • <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> 0 Side Sewer — New Installation <br /> O2Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> 40111P <br /> ;0 op <br /> 9 3//5 PERMIT# <br /> Signature Date U <br /> i 5IA-a l <br /> REVISED 11/19/2014 <br />