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UTILITY PERM17 APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www everettwa.org <br /> � / <br /> PROJECT ADDRESS �ZS �� <br /> (�_�C'f� � ��-=)�'—t1���\�`y��-1Y�1�� �-� � �(S�Z�� �sb�. � <br /> Property Owner "Maii Adtlres�` s � 1 Gty Slale2�p Phone <br /> �� <br /> Tenant Name t this is(or a commercial busine���� �fL,. <br /> 1 -���, _ <br /> �����.P,� �C�i6�]�.c� 1 ?� 9 �-r �lA-�� <br /> C Nractor ��Mail Address City Slale2ip Phone <br /> Snnc�►,S�y�/�.'��q! -� b �,�• <br /> A Stat- c Contrac�or L cense Numher(reqwred) City of E�l Busine s 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 ihe building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> ` FEE <br /> �� � <br /> �'� ,J/ PERMIT# <br /> /i ig tur8\ �a� U I 5 OS - 0 �f 2 <br /> R[YISED f Ing?Otd <br />