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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.nrg <br />522 ���y - <br />PROJECT ADDRESS <br />Property <br />Mail Addmss <br />i �] <br />Tenant Name (It this is for a commercial business) <br />CantfOctof MeilAddress <br />� M�.�� i 5� ��- � K � <br />WA State Contracror License Number (reqwred) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer— New Installation <br />City <br />LT Install Backtivater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />_—� <br />flEYlSED fIHBll�id <br />Ciry <br />StalNZip <br />Cu�� <br />-u32`� <br />Phone <br />>I <br />SUte2ip <br />(425) <br />� r-]�-7 .- Ci �i 5 <br />Phono <br />n73 5 �{8 <br />City of Everett Business License Number (require� <br />PERMIT# <br />u u���i—rc�g <br />