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. UTILITY PERMIT APPLICATION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 37_OD CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 16 l6 I������.1�Pti � <br /> PROJECT ADDRESS <br /> �c��✓� F_/;2��a,�l � e <br /> Property Owner h9ail Add�ess ity State�7_ip Phone <br /> Tenant Name Qf ihis is for a commercial business) <br /> �/���,([.�P S� �.1'in��ur�i'o-n (�,tiF . P� l�OX l�f i� j/'�OY1/o-P �iiJ11 %P2-�`�— <br /> Contraetor MailAddress � Cily State2ip Phone <br /> wF� �,�,��C � O��� �,�� � �Z�"� 7� <br /> VJ�State Conlreclor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installation <br /> �' Install Backv✓ater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> F[E <br /> � 30 `� <br /> ✓ `" S r�eRMrri� <br /> � � /6 / <br /> --- .�� alu�e ��— --Dat�� <br /> U � S03 — O8Z <br /> r-rvisiu nn,oma <br />