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. UTILiTY PERMIT APPLICATION <br />CITY OF EVERETT PERMlT SERV"ICE� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-3810 - 1=AX 425-257-8857 — www.everettwa.org <br />����1-i�� i��l � <br />PROJECT ADDRESS <br />p�operty Owner M11ail Atldress City <br />ant Name (I(ihis i���' cbmmercial business) <br />� � ��--�� <br />ConlfactOr tJlail Address City <br />���L�2�� <br />W Stale Contractor License Number (required) <br />Work to be done: <br />❑ :,�de Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />� Install Backwater Valve (outside the building) <br />❑ Cap eff Sewer <br />❑ Install lNater iVleter <br />Stafe2ip <br />1��' c�o T <br />Phone <br />�zs 7��> <br />��� <br />Plione <br />Ci�y of Everett usiness Li�e Number (reryuired) <br />_ � z� �is <br />� ,� / <br />F[E <br />�7v 66 <br />N�_�zMrr.i <br />U (�63'�Z$ <br />