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Jun,,15 2015 01:34PM CJJ'S�PjLUMBING & SERVICE 360-691-1301 pale 2 <br /> Cretk- <br /> UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa,org <br /> \dog 2-tetrilommrlialliMPIEMIL0 r-- 11'51, b1/5.-11') <br /> 5t , <br /> A A <br /> PR e J ECT ADDRESS 19, 'j <br /> 1 <br /> r-60ss-Icrin p( L1) LtinRALyS. L0A <br /> Property Own- Mail Address City State/Zip Phone <br /> Tenant Name(II this is for a commercial business) <br /> N VtLrn\Cikp5S — I\ /t( u/A <br /> Contractor ail Address City Statt/Zip Phone <br /> el 3 Ql—fq t OP Qc( <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> • <br /> O Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> Qnstall Backwater Valve (outside the building) <br /> 0 Cap off Sewer <br /> ❑ install Water Meter <br /> FEE <br /> PERMIT# <br /> Signature Date <br /> U <br /> i <br /> REVISED 109/2014 <br />