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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257-8810 - FAX 425-257-8857—www.everettwa.org <br />-M 13 Oim� j A Ve <br />PROJECT ADDRESS <br />A✓E <br />Gve..r2� <br />iJ77— �` �G✓ <br />y1S. 3�'./-4/, <br />Property Owner <br />mail Address <br />Gty <br />tate0p <br />Phone <br />Tenant Name (If this is for a commercial business) <br />Contractor Mar Address City <br />rYl A616 912 M5 <br />WA State ntr c r License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Seaver Alteration <br />❑ Side Sewer — New Installation <br />4stall Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />e/� G✓4�5PzoG tits-dS�•3ar8 <br />S to/zip Phone <br />7-20 3 <br />City of Everett Business License Number (required) <br />FEE <br />eb <br />PERMIT# <br />U i450z'-n-23 <br />REVISED II/19lM14 <br />