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------- -- -- -1 <br /> UTILITY PERMIT APPLICATI�'JN I <br /> CITY OF EVERETT PERMIT SER'✓ICES ; <br /> 3200 CEDAR STREET, EVERETT, WA 987.J1 i <br /> 425-257-8810 - FAX 425-257�8857 —www.everettwo.org <br /> � <br /> i <br /> � <br /> _1,�?��� - ; <br /> PROJECT ADDRESS (({�, i <br /> q p� ��)� � r <br /> ,��'r`� �r1A __?�3�L ��(p,��,�jL �l �U_l___—�5Z 4 P��o I <br /> --�i^—1 "_"'_•---__-- StateR��p <br /> Property Owner ldall ACdross �'ry i <br /> i <br /> n I <br /> �.���S.t— —__—_—__—__'—_— — i <br /> � Tenan� Nae�e (If this is for a commercial business) ', <br /> (42`i) � <br /> �, U �.t�e.l��� �a, C�iz�� i,w � �tt3�D3 z4�-t.- �i`� '9 i <br /> �'--� Cdy StataRip Phone � <br /> Contrador �da�lAGdre,s � <br /> I <br /> �k,��--��- �� � K � ���^��_ I <br /> W�State Contractor;i��nse Num6er(requirr.d) City o([veretl Business License�umber (required) I <br /> II <br /> Work to be done: � <br /> ❑ Side Sewer Repair i <br /> I � <br /> ❑ Side Sewer Alteration � <br /> ( <br /> 7 Side Sewer — New Installation <br /> I <br /> i <br /> I <br /> � Install Backwaler Valve (outsid_e the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FE[ 6 � <br /> �� � <br /> I <br /> J I — � " I � PERMIT# ' D� <br /> Date 1 I <br /> �al e �J I �D I <br /> IREviSEnrrns^au . _._—___ — —___� <br />