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. . <br /> ------ - ------ — — — ---- — � <br /> UTILITY PERI�/IIT APPLICATIQN <br /> CITY OF EVERETT F�ERMIT SERVICES , . <br /> 3200 CEDAR STR[ET, FVERETT, WA 98201 ' <br /> 425-257-8810 - FAX 425-257-8857 – www everettwa.org <br /> ��-� I ('e�a-t� S % -- <br /> PRO.iECT ADDRESS <br /> � <br /> � � T <br /> ��i,__f l�G/ "�S� � c�-5 �--- `�i� <br /> P operty OwnCr � �dadl�dAress .. � � City SIatMLp Phone <br /> .,. �, <br /> __ __ ____ —__ .. _'_.--_ _—___ ___—____ _— <br /> � Name(II Ih�s is for a commercial business) <br /> 1 ��v�, � b� ZC �_.__ �:��<� . I// �a �'A�� �-fzJ — 1j�9-zflz <br /> � . Adtlress City State2�p Phone <br /> � � l�ai�Pp ��� S5� <br /> Vdt� .,�,�, .�.,�ctor I.Icense Numher(requimd) City of Lverelt�usmess License Number(requtred) <br /> Work to be donc: <br /> O 5ide Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side 5ewer – New Installation <br /> all Backwater Valve (outside ihe budding) <br /> ❑ Cap off Sewer <br /> O Install Water Mcter — -- -- -- — <br /> FFF <br /> � 30,�°� <br /> / - --- -- -- - <br /> _ __ _ _ _ _l <br /> -- /! / � veRMirrr <br /> - - — --- -- ---- �— -- II \ /� 1 <br /> S atu e Ddll` V I�`-'W J V��/ _ <br /> i�!V"�!U r rieriou <br /> � <br />