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I <br /> � I�TILITY PERMIT APPLICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> ?�i`� 1 �-( _ic►2.��c.�-� � <br /> PROJECT ADDRESS� <br /> 2�i.v� �+�w� ''����-i�'Llc��i�✓L`! G.J�4- �d'D — � 7vd> <br /> Property Owner Mail Address City Slate/Zip Phone <br /> Tenant Name Qf�his is for a commercial business) <br /> �.4- p��rn b�:� L.C_C ,a�o // �/l.f�-�"�l'�f _fI�� �Z I—?��`Q 2� <br /> Contractor Ma I Ad ress Cily Slate2ip Phon• <br /> ,o�� /�'o�/�°�� �� S�� �Sr�e <br /> WA State Contraclar License Num6er(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> O Side Sewer Renair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installation <br /> C(1 nstall E3ackwater Valve (outside the building) <br /> ❑ Cap of( Sewer <br /> O Install Water Meter ------ <br /> FEr <br /> � 3� o0 <br /> - - ° J -Z(�I J'.- -- PFRMITtt --- _ — <br /> Signaldre � —.—.—�— — de ' 1 I ��jj) � Q�� <br /> U `�j y <br /> NFVISCO t rllnrJtJ <br />