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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 /> � �Y� �) F1'WPiV�- <br /> PROJECT ADDRESS G(,�27� <br /> ��SO�M- L�q P�" �S�o 8�i2 ���'Ti� I� � , ?hZr77 3(�0 <br /> Praperty0wner MallAddress C�ry � SWe2ry Pnons <br /> U�l� P <br /> 7enanl Name(It this is for a commercial business) <br /> (4Z5� <br /> g55 �,�c�C, r���17�� da ����� wa �tt3�3 .zy�,-4as9 <br /> Contrador Maii Adaress C�ty SWIdZip Phona <br /> (� M�.�i 5�� (. K � c��3 �y8 <br /> WA Stale Contractar License Number(requfred) Ciry of Everelt Buslnecs Ucenw Number(r�quired) <br /> Work to ba done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> � Install Backwater Valve outside the building) <br /> O Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> 3�0� <br /> — _ 3 `— — „ZD[ S PERMIf� <br /> ,9 a, o.�e U 15 0 3 — 037 <br /> ,��,,,,,�„ <br />