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Jun Oi 2015 08.52PM CJ'S f�IUMBING 8 SEAVICE 360691•1301 page 2 <br /> �n��.��� - - <br /> UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8t310 - FAX 425-257-8857 -www.everetiwa.org <br /> ��b � �o��.r�./ <br /> PROJECT ADDRESS <br />, Pfoperty OwflBr ^' C��(� � ldail Addm� �����ity�� �5' l� Phono <br /> --�- �----------- <br /> Tenant Name (Illhis is lor a Commnicial businnns) ^ �nl�Tc <br /> j�� �", .J � <br /> �'� �S PI ���,h;�a� �1 _t c��Sa�- �rl�,�,�-' r��,C�r� ����., <br /> Conlractor M�il res� Gt SlaleRip Phono <br /> _.n1���.�'� Q\�� n.��� �Q �n�. �LL l��f�g o� <br /> WASteto Contraclor License Number qulredJ� City o1 tveretl Business License NumDer(required) <br /> Work to be done: <br /> ❑ Side Sewer Repafr <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewei — New Installation I <br /> Install Backwater VaNe �outside ihe bullding) I�' <br /> O Cap off Sewer �� <br /> O Install Water Meter <br /> FEE �� —� <br /> �O - I <br /> `- ♦ <br /> � �-�� (D � 1 � ' ---_--__--_-- <br /> PERMITN <br /> gnalu�e Datu � <br /> _� 15�G-�2�_ � <br /> � �En5f01Vr9q0f� � <br />