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UTILIT�( PERMIT APPL9CATION . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vwvw.everettwa.org <br /> 251� �Q,/z <br /> PROJECT ADDRESS (��j� <br /> - �5 �v� � � 2zZ7 <br /> Property 0 er <br /> Meil Address Ciry StatelLip P�ono <br /> �� <br /> Tenanl Name(It this is for e commcrcial business) <br /> (�I25) <br /> �. � -�j �,(o�%f L �1G��i� c�R Ell 'w'"r�' I;I W 0. �t��03 �.ti�-1,-- �i�t 59 <br /> CaMractor <br /> MailAddress CAy StalelZip Phone <br /> .,� *'��.�i �� 5=�� � K � ��3 r>�8 <br /> �VA Stete Contractor License Num6er(reqwred) City ol Everett Business License Number(require� <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration , <br /> � Side Sewer— New Installation I <br /> Cv7 Install Backwater Valve outside the building) <br /> O Cap off 5ewer <br /> ❑ Install Water Meter FEE <br /> � 3D.�°� <br /> — � — / — `� PERMITli <br /> srg eh ate 1 1 r�O�„ D�� <br /> V � <br /> ntvisen nnwdoi� --_ <br />