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/ _ `. <br /> UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRGET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www everettwa.org <br /> � ��'� <br /> �l7) ��13v�0� <br /> PROJECT ADDRESS <br /> -�ll.:_ IJ; 'cA'� lY?� ��c�l �(/ �,�e�e� ,(�i'd �!J�� r <br /> Property Owr.cr tvtad ndCress C�ty � State2�p Pnone <br /> Tenant Name pf th�s is for a commercial business) <br /> ������y '� �,�Q l.�ux ���� ��er�i�P,�/� �Z)Z .�;`? �Y9 <br /> COntraCtOr P:tail Address Gty SlalelLp Phpne <br /> � (�J� i r��� P,/�-gg`� �..Yr� -�z�t7� <br /> `AG1 S(ate CoMraclor license Number(requfretl) City of Everelt Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installation <br /> � Install Backwaler Valve (outside the building) <br /> � <br /> i ❑ Cap ofi Sewer <br /> O Install Water Meter ---� , <br /> FEE <br /> �J � ��j � � <br /> �l� 2/ S PERh1[T# I <br /> i a�ure ' Da V � � �� ' I I�'}' <br /> �[V6F0 Hn9.POfJ I <br />