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. <br /> � — <br /> UTILITY PERMIT APPLICATION . <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 1 'l 3 Z C��1��, <br /> � PROJECT ADDRESS C�ZS� <br /> C�a�- ��. ntiaz.� 13Z �,o �V� , 4�3 � ?116- 7070 <br /> Property O�vner Nail Address Ciry SWIaIL�P Phono <br /> � J <br /> Tenanl Name(If ihis is for a commercial business) <br /> (4 ZS) <br /> g S� ���C �;al��� da CVic2��i �va �t��n� ,z.��-L-�i��s9 <br /> Conlrador MoilAddross C�ry StatdZ�p Phane <br /> �� ;�1���i 55 S�� t K � n�3 °�yf3 <br /> WA Stale Cantractor license Numbar(requued) City of Everett Business License Number(reqwred) <br /> Vlfork to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> 0" Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> �� <br /> � —l0 — ZO�`� PERM[TS� <br /> Sig at Dato U I50Z_�7j <br /> aet�sm nnsz�ia _. <br />