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b'ay Oi 2U15 1Q25r�`1 C�'S P��.U,"9R�.�� 8 SL7?VICt sc0�6:i'��130' <br />P�9E , <br />UTILIT�' PERMIT aPPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.evereltwa.org <br />�� � V <br />PROJECT ADDRESS <br />�.�� I� � � � <br />—�� � l; + � � <br />Propelty0wner fdailqadres, Clry <br />Tenent Name pf this is for a commercial busir�ess) <br />��5's PJu�;�,���� ss-� ���,� <br />Ccntractcr (J�a�l Addross City <br />C�S���'S �115 ��� <br />N!A Slate CoMractor License Numhor ;required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteralion <br />❑ Side Sewer — New Instaliation <br />Install Back�vater Valve outside the building) <br />❑ Cap off Sewer. <br />❑ Install Water Meter <br />� <br />���„��o,:,.�:s:� <br />N� <br />� <br />� <br />=�3 I <br />Phono � <br />,C���� � !ls �1�- ��, ;�l � <br />SlalelZip Phone <br />c� c�;� <br />City c Evorotl Bus�nuss liccnse Number (requirad) <br />FEE <br />30°`� <br />PERMITtF <br />U 1 S05—O�C� <br />