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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 425-257-8857 — www.evereltwa.org <br />Z�3� il%�4SS n..t.� , Si <br />PROJECT ADDRESS <br />Pmperly Owner <br />NAeB Address <br />Tenant Name (If this is for a comrt�e�cia� business) <br />L vw <br />Contrador <br />City <br />StatrJT�p <br />S3 � --4 y� <br />Pha�e <br />l I �l S`�cva,w�t �- -�v�sc�' i,.►'� 5/�9 - o! Z <br />-� o <br />C�7y S'at�p PAw�e <br />r�r�- ����o��P� <br />WA Shate ConUactor License Number (require� ' <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Atterafion <br />❑ Side Sewer — New Installation <br />nstall Backwater Valve outside the building) <br />❑ Cap off Sewer <br />D Install Wate Meter <br />Co'�S <br />o�ss� <br />City of Everett Business Liae�se Number (iequired) <br />� <br />PERMIT# <br />U l5U �'-032 <br />