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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.everettwa.org <br />PROJECT ADDRESS <br />CIS Saw`C <br />Properly Owner Mail Address CuY <br />Tenant Name fit this is for a commercial business) <br />Contractor Mad Address City <br />rAw IP6P )� I-/M S <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 />Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />staterzip <br />Phone <br />Phone <br />Lj-?-7a� <br />City of Everett Business License Number (required) <br />Z�4 (e / 15 <br />FEE <br />3D. ou <br />PERMfT# <br />U/S03 <br />REVISED I in9?0N <br />