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UTILITY PERMIT APPLICATION . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E'✓ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 2v3 l G�`�D <br /> PROJECT ADDRESS C�ZCJ� <br /> � �� , z� - Q3oZ <br /> � i ��� <br /> �;ty State2ip Phone <br /> PfOpetty Ow ef Mail Address <br /> t �] <br /> Tenant Name(If this is(or a commercial business) <br /> C�+�S) <br /> 1- S� -'1/ ,I a��_nn� z4�-- �i�� SG <br /> aC.`��.JC L-G��iG'1 �� �V fdn __ �� l,� � �"_ Phone <br /> Contracror <br /> Mnil Addross Ciry 5talelL p <br /> /� {./� l S�( � K 1_.. �ti� ���f�' <br /> 1� � "�-� �5 City of Everett Business L�cense Number(requued) <br /> WA Slate Contraclor License Number(reqwred) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> Q Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> 3v °° <br /> _ <br /> , PERMIT# <br /> oa�o � �5 0 3— p�3 <br /> Si3 al <br /> nev�seo nnsaa�a <br />