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�--- — � <br /> llTILITY" PERIVIIT APPLICATION . I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657 —www.everettwa.org <br /> ��d <br /> PROJECT ADORESS CuZ�� <br /> � � 7 , �,, 252- 6085 <br /> 'V t � � :(LC•�� ` �U �ity SfateRip Phonc <br /> Proper,y Owner Mail Address <br /> I <br /> ;n�v� � � <br /> Tenant Name (If this is tor a commercial business) <br /> C���S) <br /> �� , �,'�c�G %,�1,�� �(� C�w�-i i �� a �t� zti�.- ��c�� _ <br /> City StatNZip Phona I <br /> CofltfBClOf MailAddrass <br /> ` I' (-'�h� �� ��� ' <br /> ���,��� � �� �� ° `\ � — ��y of Everett Business Ucense Number(reqwred) <br /> VVA Stale Contractor License Number(reqwred) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> � Instail Backwater Valve outside the building) <br /> ❑ Cap off 5ewer <br /> ❑ Install Water Meter FEE � � <br /> ��/ <br /> �� � _23 - ls _ PERMITri ^ n <br /> � �are � l JV J— 1� V <br /> Sig ati e <br /> _� <br /> Fevrseo i rnsrzoia ------ <br />