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—�-- — <br />�-- <br />UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />Z� �l G�Z�A-t�l � ,�v� <br />PROJECT ADDRESS �t,��� <br />rte,le,�n i�we. z`l �t C�RA-Np a�l� �ll��'S'� �,c��t .-�(8:co � Z34 — 3N r 3 <br />Property Owner Ma�l Address City State2ip Phone <br />Tenant Name (If this is for a commercial business) <br />Contractor t.7ailAddress <br />a M�.��. �,� �� c _ � � � <br />WA Stale Contraclor License Number (req �) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />City <br />0" Install Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />PEVISEO f In9ROfd <br />� <br />SlatefLip <br />, �a s <br />Phone <br />---�� �y8 <br />Ciry of Everett Business License Number (requlred) <br />FEE <br />�O �b <br />PERMCftk <br />U ����'i��� <br />