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� UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FnX 425-257-8857 - www.everettwa.org <br /> %33� ���,rE� �� f <br /> PROJECT ADDRESS <br /> �4rc G, �S u� � 3 3 � )2� ��c�2 C����a,i 1�.�+ I �5� �S`1-5 y6 <br /> PrOperty Ot�f Mail Atldiess Cily Statc2ip Phone <br /> �/� _ <br /> Tenant Name Qf Ihis is for a commeroial 6usiness) J'�� /s� <br /> �o Q r s� � �a�s ,c.���4_ /�1,P �3� ,� S�S j�ti�.�� �,� bJA `'I�( S) <br /> Con�raclor Mail Addmss Gry Slatc2p Phone <br /> �Jo�,t�-+s � B � s � s p5y5o � <br /> W� tale Contraclor License Number(required) City o1 Fverell Business License Num6er(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> H Side Sewer Alteration <br /> ❑ Side Sewer - New Installation <br /> Install Backwatcr Valve (outside ihe building) <br /> ❑ Cap off Sewer <br /> ❑ install Water Meter — — <br /> r�t_ � <br /> �b (�0 , �— <br /> -- _ __— — _ _ <br /> -- --__ <br /> '�— �/� i5 PeRrtrr�r <br /> __�� _ ____ __ I !�/1� � <br /> b�,naure � Uate I 1 7[0�� ��V — <br /> I � � IJ <br /> �— - <br /> „�_�,s��,�„�����a <br />