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'� UTILITY PERIVIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-25� -8857 — www.everettwa.org <br />��C�( (�a��«2 A�� <br />PROJECT ADDRESS <br />��;a Mak,��,�l�aK �2.2�1 Ra;Ni� A <br />Property Owner <br />Mail Address <br />ie (If ihis is for a corc�mercial business) <br />� v� <br />cuad �.�,�ect- ��=��� s�-. <br />Contractor M3il AdCress <br />�ol�s8�� �5 <br />WA State CoNractor ' nse Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />City <br />� Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />�,i, f!/;� � �i <br />. <br />REVISED II/19/101a <br />City <br />G�i <br />°��� � <br />��bS° <br />�t� �i(�( � • <br />�none <br />�� � �-�,o <br />City o( Everett Business License Number (required) <br />-�-'�- ��1� <br />FEE <br />��V.� <br />PERMIT« <br />UI��-�i�0 <br />