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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 - www.everetlwa org <br />PROJECT ADDRESS <br />Property Owner Mail Address City slate/Zip Phone <br />Tenant Name (If Ihts is for a commercial business) <br />�G5 3©3 0111 �"r41/ry 1J *Z 57e <br />Contractor Mad Address City Slaleizip Phone 7q&5 <br />WA State Contractor License Number (required) City of Everett Business License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />2 Install Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />FEE ( �� <br />PERMIT# <br />U 1 505- I� <br />REVISED rur9?Ou <br />