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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.everettwa org <br />PROJECT ADDRESS <br />),-71 S 67t,.2 X-e, <br />Property Owner Mail Address <br />Tenant Name (If this is for a commercial business) <br />Moe"\ <br />Contractor <br />17Sf S,-{ I <br />Mad Address <br />rhC4/N P/'7v- �sj- y <br />WA State Contractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />City <br />❑ Side Sewer — New Installation <br />Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />M <br />1-4-fy <br />Cdy <br />wA y2S -.�3,Z1�io <br />staterZip <br />ILI-14 <br />Phone <br />StatelZ-p Phone <br />pS-3 ( <br />City of Everett Business License Number (required) <br />FEE <br />00 <br />J� <br />PERMIT# <br />U 1;01 -old <br />