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UTILITY PERMIT APPLICATION <br /> CITY OF EVtRETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982�1 <br /> 425-257-8810 - FAX 425-257-8857—www.everoNwa,orp <br /> l5 l 2 �c�,,,�� �4�U� <br /> �taEcr nuo�sa <br /> 1�py�;t�n�� C"as So _ � 5�z �Y,Xa2 i4�/� ����rt wa Q$20l C42�)252 t8�17 <br /> P�°�i'Y�7�er h4A Addrau CRp StM�21p Plarr <br /> iiaJ- In� <br /> T�nanl N�ms(It Mif iy for a comrrbrcial businesa) <br /> �,�,.�7 ��DG L��.l,n c�R _ LV1�R.�� Wa , aBf,�D3 �z 4,--q459 <br /> COM/�CIOf A1�NAddf�{s �� S�a P�N <br /> M'E.0.�[ SS S�6 L K L n�� �'�/p <br /> WA SIM�CoMrada k�n�s Number(roqifrcd) City of EwreM BwN�es�Li�nae Number(�yk� <br /> Wak to b�doM: <br /> ❑ Slde Sew�er Repair <br /> O Side Sewer Alteration <br /> O Side Sewer— New Instalfation <br /> � Install Backwater Valve outside the building) <br /> O Cap off Sewer <br /> ❑ Install INater Meter <br /> FEE <br /> �v ° <br /> —�`*� / (- ��S -!S� PERM1Tx <br /> aiynU � <br /> U ��{ i � - ps � <br /> �EYISFO I MN011 <br />