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�-- - -- <br /> --- __----- ---- _- --- --------- -------- <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 /> �2(� �a,�.,�`� <br /> PROJECT ADDRESS �'�Z,�, <br /> 'YVlad i sov� �_e��c�n(�?�J�k�'�? �1 �,��22�� l,�Jle . Zog - �Z i <br /> Property Owncr Mad dtlress C�ry Stale2�p Phonc <br /> —1r1cL/�� -- _ <br /> TenaN Name (Il lhis is for a commercial business) <br /> (uzs) <br /> �-�r����� ��o�,��.�,� s,�P �.�1�v�1 �v�7r: �.�G, z�,�����9 <br /> ConVaelor Mad Address Cily Slate/Zro Phone <br /> A�I,ss �3� ( ZC L bs ,3 ��� <br /> W�State Conlraclnr License Number(required) Cdy of Everett Dusmess License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair � <br /> i <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer – New Installation i <br /> i <br /> Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter - — — ----- � <br /> hEt <br /> �D °� <br /> � � -� � - /5 --- - _ --------- <br /> --- - - ---- <br /> " -- P�RMrr�r <br /> -- -- - �;. .- - - --.. <br /> a i�J' uaie � �] /— <br /> U — I �O 1 'O �YJ _ <br /> Ilt V;Z(U i�;19^J I I <br />