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WATER/SEWER UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.gov <br />Jy/ — <br />PROJEC.ADDRESS <br />Property Owner <br />Mail <br />Tenant Name (If this ij'for'a comni $) <br />� �fi/ <br />Mail Address City <br />,�J-bE5 *.j� 955k0 <br />WA State Contractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />REVISED 1111912074 <br />City <br />StalelLp <br />Phone <br />State/Zip Phone <br />City of Everett Business License Number (required) <br />