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� WATER/SEWER UTILITY PERMIT APPLICATION <br />� CITY OF EVERETT PERMIT SERVICES <br />I 3200 CEDi,R STREET, EVERET7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 -- ��nwr.everettwa.gov <br />7 7 7� C`4-� �-{__� <br />PROJECT ADDRESS <br />� L-F=vwv r�t I �t � o l�`-�= <br />eperT� Ovir�r !'a� Address C�ry <br />le��arl Name 11f t� s is `or a crmmernal b�siress� <br />/�}y�}-� ( � V'�� {� l V1 ryt L( L <br />ccntrac!a I.+a�aCur.ps <br />��'��/,�' � <br />1^!A State nt'ac7or L�e�se Muo•bs: ',recuirea� <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer - New Installation <br />� <br />/(.S�iu ✓a.�uo( <br />f�nst3TiEiackwater Valve outside the building) <br />❑ Cap off Sewer <br />5;:lle,tip Phom, <br />�fO / ���Z � <br />.T , ..a. <br />9a1e1: YPcrc <br />O�� � <br />Gfr c' E�r�tt B�.is��ness L�ce�se Number (reqwred) <br />- T <br />fTl �f+l <br />�1 <br />1 = � <br />lJr'r1 .�� • <br />s• � � <br />n� <br />C� Y ��l <br />.� <br />- n �. <br />� , �, � <br />.� � �' <br />�� <br />�- -� <br />r�� <br />ry'� :i <br />�'1 <br />� � <br />u.i � i_ � � <br />'� O : ' <br />:=:o�: ��:' <br />�or� <br />_� �i .+ <br />¢i <br />,_._, <br />❑ Install Water Meter -- - --- � <br />FEr_ a <br />0 <br />30 <br />�_ I �^I C ��ITA- — - <br />J <br />;qndNre Da�c � 1 f CD �_ o I i%1 <br />U J "� v <br />