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Jul 13 2015 09:27AI CPS PLUMBING 8 SERVICE 360691-1301 page I <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.everettwa.org <br />PROJECT ADDRESS q�tj- %ih <br />P peny ownor Mail Address Cdy Siate2ip Phone <br />Tenant Name (If this is for a cornmerclal business) <br />Contractor Mimi Ad ss C.!y <br />U 5 Pi &CA IS Ott _ <br />WA State Contractor License Number (required) <br />Work to be none: <br />Cl Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer - New Installation <br />V.Install Backwater Valve Coutside the building) <br />❑ Cap off Sewer <br />SIatWZip Phone <br />City of Everett Business License Number (requ rod) <br />❑ Install Water Meter <br />FEE MM�� <br />C�2�) PERh1ITN <br />St�naturo Da'n j <br />u I5o7- 03 <br />RE ISED rrn 04 <br />