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WATER/SEWER 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 gov <br />uaoq I� , <br />PROJECT ADDRESS <br />Proodrty Owner <br />AK <br />Tenant Name (If this isfor <br />6" A, <br />Contractor <br />Mail Address <br />a commercial business) <br />Mail Address <br />WA State Contractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />fm �5jypt NIR. <br />City <br />❑ Side Sewer — New Installation <br />install )Bckwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />HEVIsro IIn VM14 <br />City <br />Slate/Zip Phone <br />r <br />Statel7ip Phone <br />City of Everett Business License Number (required) <br />Lj <br />R I0 PERMIT# <br />