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UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257=8810 - FAX 425-257-8657—www.everettwa.org <br /> l�l.J 1 ` W� � <br /> PROJECT ADDRESS ,{y,� <br /> 5,�� �_N low, C'olfoy i-'�✓.0 1�0., �EJ� � 3�� _Scol <br /> Property Oxmer <br /> Mail Addre s C�tY S���e��P Ph�ne <br /> (� <br /> Tenant Nem�(If this is for a commercial business) <br /> �'���'� (425'� <br /> � �G 2G�oG La�l�� da �V��"LT wa . q��o3_ zy���as9 <br /> Contrador MailAddrcss Ctty StatelZip Phone <br /> � ;^wR'I 55 a� t K �- a53 5� <br /> WA Stele Contrador Uconse�ber(required) City of Everett Business License Number(required) <br /> Work to be done: � <br /> i <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> � Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter �E <br /> 3�� <br /> � — �Z—�t — Z�I� PERMIT# <br /> Sig al <br /> oe�e u f � ( Z—o � <br /> AENSED II/IY/NII <br />