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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 962�1 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�30`1 G�� �u �M�'� <br />PROJECTADDRESS <br />. , . <br />Property Owner <br />Address <br />1 � <br />Tenant Neme (If thfs is tor a commercial business) <br />City <br />Cw�� <br />, 32�-�553 <br />StalefLip Phono <br />CoMrador man naaress �^� <br />.J3 jf:��� � ��n'� �� � - <br />WA State Conlractor Llcense Number (reqwred) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New installation <br />0" Install BackwaterValve outside.the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />_—� <br />aEvaEo nnarzam <br />^ �� <br />� 7 � �� <br />City of Everett Business License Number (required) <br />PERMCffX <br />U ( 5D3'03(� <br />