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� <br />WATER/SEWER UTILITY PC:RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVFRETT, WA 98201 <br />425-257-8810 - FAX 425-25i-8857 - vn+nv everethva gov <br />��623 �a ��.c,�lle�� ,9,n� , Fv�i, �,�� 9�/ zo I <br />I PROJECT ADDRESS <br />y2r-97f�G7�7 <br />i�oe �$�t�Fw.,9 Zlab r�8sz YdJ`�4vQ- iVf�l.al.� f��PS� P•vLc�Wii `?�/5� <br />I PfOOCI'y O�+�nnr 5.ii i3O:1'e55 C!/ Slalc'Zip PhOne <br />i <br />Tenant Name p! tnis �s for a commercial business� <br />�� z<�:��-4�,,5, u� f�a3Z Yo��.� �v� ��� F�.�,�-�a�G- <br />Contraetor r.tan Aemess Gry s�alrZp Pnore <br />S/►�I Z C�C� f3 5 P 2 <br />WA State Ccntractor License Number �reqmied) <br />Work to be done: <br />O Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sevaer — New Installation <br />� Install Backwater Valve (outside tlie building) <br />❑ Cap of( Sewer <br />❑ Install Water Meter <br />11- 2-,S <br />���.��_�,,,:�.�,: <br />Dy���'1 <br />Jiy o( Everelt Business Licensa Number (requiretl) <br />F[E <br />���.°° <br />P[RMIT« <br />� 15�I-OD�O <br />