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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 — wwjw.everettwa.org <br />PROJECT ADDRESS <br />(�` _24T �. rat, e,- 2 <br />rvlad Add VSS City <br />Property Owner <br />Tenant Name (If this is for a commercial business) <br />Contractor Mail Addross <br />City <br />/�P�lk1�� �� v� K1— - <br />WA State Contractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />Q Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install water Meter <br />(uZ-�;) <br />3�t1-5z�z <br />Stata2ip Phone <br />('4 <br />SWOOP Phone <br />City of Everett Business License Number (required] <br />3- t <br />FEE <br />0bo <br />PERMIT# <br />U15o3-010 <br />REVISED I1/19.=4 <br />