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Mar 26 2015 0921AM CJ'S PLUMDING & SEAViCE 360b91-1301 page 2 <br /> � ' <br /> IJTILITY PERMIY APPL�!CATfON <br /> CITY OF EVERETT PERNtiT SERViCES <br /> 3200 CEDAR STREET, EVERE'rf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.ory <br /> I � � � �,��'V��'Jor� � <br /> PROJEC7 ADDRE55 <br /> � <br /> �_ (�l�a�lf�c� � ���e�,-, <br /> IProperty O��r er Mail Address City State2lp Phone <br /> Terant Name(If ih+s is for a commerclal business) I <br /> � � c- � wr�- ��,`�s�s ti <br /> '�� C� 1 ���--7,,P�n�;c� -��-��`F, (� N ,��� ��1, <br /> ConlraC�of AfailAAGress � City Slata2ip Phone <br /> ��,�s P� PS ��( �Q —b��r�1 <br /> �,vA State CoMrac�or License Number (required) Cily oi Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ 5ide Sewer— New Installation <br /> �. Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> � ��.°�— <br /> / °I/ � �—Z� I" PERMITS <br /> �C,v. U l �o3"LSa <br /> S�gn r _"., Oale <br /> 2VISED�1/1 S/.V 1.1 <br />