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• � UTILITY PEkMIT APPLICATIO�J <br />CITY OF EVERETT PERMIT SERVICE�� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-&810 - FAX 425-257-8857 —ww�v.everettwa.org <br />�21.� �� � <br />PROJECT ADDRESS <br />_� <br />falaA Address <br />Name Qf this i�for a commercial busmes;) <br />Contraclor Mail <br />State <br />Work to be done: <br />O Side Sewer Repair <br />O Side Sewer Alteration <br />❑ Side Sewer — Ne�v Installation <br />C�Install Backwater Valve (outside the building) <br />� <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />Fev.sen r�nv:ou <br />Ci�y <br />Slate/Z�p <br />� yzs-23� <br />3 30�- <br />��S 351 ` <br />Phone <br />�-z>-� �Z <br />, ��� <br />Pnone <br />1 Y� 1(t�('Dr�SS <br />City of Ever tt Business License Number (required) <br />FEE Q <br />�3Do� <br />uRi5b3-12� <br />