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' UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-?_57-8857 - www.everettwa.org <br /> �2�.��I�.f�-- <br /> PROJECT ADDRESS I..�� E��� ����3'L� <br /> p�� y���g��� �dail Atldress C�ty �e� � <br /> Tenant Name (If this is(or a commerc�al tias'qG�s) /i_-�� ��j <br /> 1;.(, ')'" / �— <br /> ��I�, ������������� � �� <br /> (:onlractOr h1a�!Address Cdy Slate.2��p Phone <br /> � ' � ' �_-�� <br /> A State CoNractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: I <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer - New Installation <br /> �Install Backwater Valve (outside the building) � <br /> ❑ Cap of( Sewer <br /> ❑ Install Water Meter <br /> F[E <br /> � �0, �� <br /> �f ���� I ,/ PERMIT# <br /> � —f— Date lJ �_JV—I �I-1 v <br /> REVISED�v�?RON __ � <br />