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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3/00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />1808 Lombard Ave Everett, WA 98201 <br />PROJECT ADDRESS <br />Kristine Washburn 1808 Lombard Ave Everett WA 98201 (206) 523-6254 <br />Property Owner Mail Address City State/Zip Phone <br />Tenant Name (If this is for a commercial business) <br />A+ Sewer Technologies 900 Meridian E STE 19-193 Milton WA 98354 (888) 213-7656 <br />Contractor Mail Address City Statetzip Phone <br />SE W E RTL897DT <br />WA Stale Contractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer - New Installation <br />m Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />ra <br />REVISED 11/19R014 <br />050789 <br />City of Everett Business License Number (required) <br />FEE <br />gyp,°: <br />PERMIT# <br />U I561-63(o <br />