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UTILlTY PERMIT APPLIGATION <br /> C�TY OF EVERETT PERN?IT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-t3857 -www.everettwa org <br /> 6 _��_ ��� <br /> Q .,- I) �5�6 -v�� <br /> � � <br /> T �- <br /> PROJECT ADDRESS r�¢�?� O / � <br /> �/ <br /> —f.���,�Q.-�. ?,, (�Ic.e_ �i o � t1��-c�T� �-`�— �.r4 <br /> Property0vmer MaiiAddress Qty State/zip Phone <br /> ��enant Name (If this is (or a commercial business) <br /> � p��/J ��, l� � �� c-,��� c,��- ��'zj=y 8� �«� <br /> CoN�acior MailAddress City StatelZip Phone <br /> 697.4-(,�l���Q1 �0 ��.��� <br /> WA Stale CoMrac(or I_icense Number(required) City of Everetl 6usiness License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer – New Installation <br /> nstall Backwater Valve (outside ihe building) <br /> ❑ Cap oif Sewer <br /> ❑ Install Water Meter _ "" ���I I I I�I� <br /> F[E� <br /> � v� <br /> _' o <br /> /• ---- I <br /> ---- — -- <br /> / n � J PFRMCTft <br /> - — ---- ---- ----------—{-{� - I/./�-� <br /> Si �IvrE� �47i'Ic �. � —t—_ U I� ��� O� lJ . <br /> — J <br /> �:�.,,,,,�. ., :�,,, <br />