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WATER / SEWER UTILITY APPLICATI(�N <br />CI1 Y OF EV�REi 1 PERIu11T S[RVICES <br />• - 3200 CEDAR STRE`T, [VERETT, W/1 98201 <br />(Pj 425-2`i7-f3810 � f� AX �i25-: �i7-8857 �(E) everetfepsCevereltv�a gov � wvnv �verett�v� go��dperr7ds <br />I UTILITY APPLICATION INFOF.i':1ATlON . _� <br />SEWER (cher.k all that apoly� WATER (check all ihat aap'�y1 � <br />❑ SIDG SEW[R REPAIR <br />❑ S�DE SEWER ALTERF\TION <br />❑ NEW SIDE SEWER INSTALLATION <br />�yINSTALL BACFMIATER VALVc cuts-�,:!e Ihe b��nl��.ng) <br />❑ SIDE SEWER CAP-0FF <br />❑ SIDF SeW[R RECONNECTION <br />MULTIPLE DOMESTIC WATER SERVIGES REQUEST <br />❑ I A1.1 DECLINING 0.�IULTIPLE CO�:".[STIC VJATER SERV:C[S FOR <br />1.1Y PAL'LTI-PP.WILY DEVELOP��7ENT UPIDER SINGLE OVVtvERSH!P <br />❑ I F+!:i OPTING TO INSTALL �v7UL71PLE DO.'dESTIC WAT�R <br />SERVICES FOR A4Y �;'ULT6FAPdILV DFVFLOFMENT UNDER <br />SIIdGU�OVV\Et?SHIP FILLOU7REV[RSESIDEOFTHISFORf,f. <br />G NGb:i l!L11ER SERVICE INSTALL�TION <br />❑ COPJPIETE SERVICE ❑':i�TE-R C�\'I Y <br />SERVICE I h1ETER USe � <br />❑ SFR <br />❑ NULTI-PAIv11LY - X C'r UNi i 5 <br />❑ COfi7�dFRCIAL <br />WATER SERVICE TYPE I SIZE (crcle des��ro:: s��ce) <br />❑DOL9ESfIC�. 3�4", 7�, 2", <br />❑ IRF2IGATION. 3/4", 1". 2', <br />❑ r'IRE. t'�. 7�. , 6`, Fi". <br />❑ DOLic'_STC/FIRc COR760 1". , <br />CTHER <br />OTHEH <br />OTHER <br />t]il{�fl <br />AGFEEkEIJiT�s�ur.�nr�.�rulo,/,�;:a_ yvsmro^'p'�n:Ot� m��;zascrRelcu �'4:�o-tP�IC..tTq�,• <br />, �. <br />r I,n � .,rr • I-rni r-i e ro <br />l:lYz.'e;dr,�Sc•%-e�nrsuchot�eirolesanOrz:gu:.�Pon,narc.u'�nqmrdri a�Ce��o,.�_ uf,, r <br />(�mu 7heecpOcanflurthcragrms.a5acontlrtronprece0enfforecn:.ngse�:a.`elhellhc�ub'Jre.'dir�s�on;h.�.'llra�'a <br />IhC nGfl� d( �OyhlpP, W�(710W �O'lCC', IO SAUIOHOf IURI 0/I (hP lvd(!I SUpJJ�y (OIICpo:R, CO/ISfNC60l1, d��1 <br />i � =r,fulcnargesorl . •asona6�ecauselamNeo�.vner,orlamau(hmitedbyfheownerol(n�s <br />pmprrty oP �/oim Ihe ork !w'.+:"�ch aoo� aYon is madt. and I com�'y �r.;h fhe SlalC Co�hac!ers Law 18'7 <br />FL4V2r1�96 00 Y C � <br />— — �� <br />Ow e ion . 1 q iqn. � fe f)ale <br />C�Iv �t E id�c'! O'f:�al ( se c`r��, <br />FE[ � �� "�"I� <br />� f <br />� <br />I <br />�[i3r:t r z <br />(hr.m£rAi!Y77LJ1'v� � �� <br />