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UTILITY PERMIT APRLICATION . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET(', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �3 2Z ���e-�- <br /> PROJECTADDRESS C4Z`.i� <br /> Sltel,l� .5�,�� �z i3 Zz R,.�.1� �.� . �U������e <br /> 9e2o! i7 �- 3�G15 <br /> Property e� Mali Address City State2ip Phone <br /> l� <br /> Tenant Name(If this is for a commercial business) <br /> (425) <br /> � "- a.bc�� Lc�2��v� c�R �V��ZI i�J0. �tl��03 a.4'-1,--�i°(59 _ <br /> ContraClOr MailAddress Crty SWIelLP Phone <br /> .�M'�.RJ--,��—�� �. K f.-. _ �53 ��{8 <br /> WA Slale Conlrador license Number(reqwred) City ot Everett Business License Number(requiretl) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side SewerAlteration <br /> ❑ Side Sewer— New Installation <br /> � Install Backwater Valve outside the building) <br /> . � <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> 3�Or7 <br /> 1 �� � �S PERM�# <br /> Sig at Date 1 1 I � O I _ Q Q � <br /> V { I <br /> �nsEn irnvror� <br />