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UTILITY PERMIT �►PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR Sl'RL=ET, EVERETT, WA 98201 <br />425-1_57-8810 - FAX 425-257-8857 — www.everettwa.org <br />� �I � 3 G�-�.� � � <br />PROJECT ADDRESS <br />� en NC; 15c�n 3y( 3(r <br />Property Ovrner I.�ad AdCiess <br />TenaN Name (If thls is for a commercial bus�ness) <br />�rur,,h: <br />Conirador <br />175�5�-/I`�Sf.SI: c <br />AdCiess Gty <br />m�e�Pi��=FfSt35v <br />VJA Slale CooLacter License Number (requ�red) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer - Ne�v Installation <br />�nstall 8ackwater Valve (outside the building) <br />❑ Cap ofi Sewer <br />❑ Instali Water Meter <br />���- � - z �r- i <br />v J� <br />� O ( Phone <br />zu� .�ac o6� s <br />.� S �w b� 3Go <br />Stale2�p Phone <br />053635 <br />Ciry of Everen �usiness License Number (required) <br />F[[ <br />300� <br />PERMITtt <br />ulSb2-08� <br />REVISED f V19ROIJ _ <br />