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UTILITY PERMIi APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257=8610 - FAX 425-257-8657 — wvuw.everettwa.org <br />�5��i C� fZ.A-OJ� <br />PROJECTADDRESS <br />Mail Address <br />�n � �n e <br />Tenant Name (If this is for a commercial business) <br />City <br />�3-- �38� <br />State2p Phone <br />Contrado� mannaaress �^� � <br />/� M��i �5 S3� � K L <br />'NA State CoMractor License Num6er (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer— New Installation <br />N7 install Backwater Valve �outside the building) <br />❑ 'Cap off Sewer <br />❑ Install Water Meter <br />ntviseo+rnenoia <br />/`� h � °� `1 C� <br />City of Everett Business license Number (requued) <br />3oov <br />PERMIT# <br />�15o`i-OS <br />