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�1 <br /> i� <br /> UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257=8810 - FAX 425-257-8657—www.everettwa.org <br /> ���� 1 b���1` <br /> PROJECT ADDRESS <br /> �o,� u+n�.Cl�.� e ��.08 ��xP.ae �v��u ��e � �t8�1 C��S7 ��� �3 s6 <br /> Property Owner Mail Address Cily Stale/Zip Phone <br /> •V — _` <br /> Tenant Name(If this is for a commercial business) <br /> � 2�0� l�l,� i ' �u��`�t t,�c�� �8�.� �y���s� <br /> Contrector Mail Address City StatelZip Phone <br /> �W�P.��� � � ,� L o535�6 <br /> WA State Contractor License Number(required) Ciry ot Everett 8usiness License Number(required} <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> � Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> E3 Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> , jO� <br /> � G7 "' I�'1 y PERMCf# <br /> ig t � Dale U I L"� I I `'�V I <br /> NEVISEO f I/19R011 <br />