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--- -- . _ ------ ---------- <br /> �-- --- - -- --- - --- — PLICATION <br /> UTILITY PERMIT AP � <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STR[ET. EVERETT, WA 98201 <br /> � 425-257-tl810 - FAX 425-?.57-8857 - www everettwa org <br /> I <br /> '� 2 I �2 ��. �� � �e <br /> PROJECT ADDRESS �� Z Z f3�q � �,,•�� <br /> I J . <-��.- �-r1< I��; � t� w,.,-�� I ---- S�; J _ � <br /> <----- <br /> I PropertyOwner Ma�lAtltl�es; Cdy StateiLp Phone <br /> I <br /> I _. ..."—'___—_ _____ —_ __ <br /> l�enanl Name N Ih�s is lor a commercial bus�ness L 2� i <br /> � � �,,-�-,,� ,�� �S � ti� � <br /> �`� r) c� � �wtiS 2v�6 1 GL ���sr/>C� `�� C2 (�/� C1cS ZS Z __� I `�/ Z I <br /> 7_._ <br /> CoNratlor �la�i Atldress C4y Statc2�p Pnone � <br /> i <br /> I <br /> ST K� � 5 i � z � J 1� _ b S �_S � � <br /> —�-- <br /> WA Stale Cenlractor License Number(requved) C�iy ol Everett Business license N�mber (reqwred) � <br /> � <br /> Work to be done: <br /> ❑ Side Sewer Repau i <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer - New Installa6on <br /> I <br /> �Install Backwater Valve (outside the bwlding) I <br /> I <br /> ❑ Cap off Sewer <br /> ❑ Install V�later Meter --- - I <br /> I FEE <br /> �__30�� _-I <br /> _ _-_ <br /> , �I �-/; - I� PERh1IT# <br /> - --__ _ — --- — I I �j� <br /> S�gnaW�e U�ne V I�O ' ��I/ <br /> � _ _ <br /> nevisen niro�aor. � <br />