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UTiLITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E�/ERElT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everethva.org <br />sa�� ��1��, <br />PROJECTADDRESS <br />I Property Owrcr <br />Ma�l Address <br />Tenant N2:ne Qf Ihis is for a commercial business) <br />Contracror <br />�� UVI � <br />'.1ad Address <br />WA Stale CoNractor License Number (required) <br />Work to be done: <br />❑ Side Sevder Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />�Install Backwa,�er Valve (oulside ihe building) <br />❑ Cap of( Sewer <br />❑ 'nstall Water Meter <br />I itV15E0 1 �/t9?OiJ <br />Ctly <br />U <br />Slate/Zip <br />State2�p <br />Phone <br />Phone <br />City of [verett Business License Number (required) <br />FEE <br />���oO I <br />� <br />P[RMIT# <br />U I �D� - � 3�' <br />