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UTILITY PERMII� APPLICATION . <br /> CITY OF EVERETT PERlNIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 90201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> �,l/ L�-'--���� ��(25� <br /> PROJECT ADDRESS <br /> j o<<< .�� ��,�n r� r� ��rz,�,���/�i��� ��2- �82� <br /> �yu ���, Stata�L�p Phone <br /> Property Owner Mail Adaress <br /> i l� <br /> Tenant Name(It this is for a commercial business) <br /> ��I LS� <br /> � �c� �� ° �11i�2�-II i,vA cr��n� ,z4ti--�i�i54 <br /> U��'������ �� Statelbp Phone <br /> CoN�ador Ma�tAdCress �� <br /> �;��.�s �� �� � K � _ ��3���(8 <br /> WA State Contractor License Number(required) City of E�erett Business License Number(required) <br /> Work to be done: <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 FEE <br /> � '�t�.`j°i <br /> � L� — l 2 � l PERMIT# <br /> ' Dale U I�� D�2 <br /> Sig al o <br /> aEviseo nnunoia . — <br />