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. <br /> " UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereltwa.org <br /> , � V� , , <br /> PROJECT ADDRESS �.�r Z✓� <br /> '- �� Z�����I� 11� � �� <br /> Property Own r Mail Address Cdy Slale2ip Phone <br /> Tenant Name (thi is lor a commerciai business) �`/ � <br /> r <br /> � L�' Vv���`I� I,u� ��.���3�� <br /> ontractor Mail Address Ciry Slate/Zip Phone <br /> � �'�- - �U� <br /> Slat CoNractor Lice se Number(required) City of[ erett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Aiteration <br /> ❑ Side Sewer - New Installation <br /> � Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Instail Water Meter -- <br /> FEE <br /> ��� <br /> --- �� I " �� � PERMITN <br /> Sig ur Date � ����D1' t <br /> ���� <br /> r.cvi,�o�rn�izoia ----. <br />