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UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everethva.org <br /> 1528 Rucker Ave Everett.WA 98201 _ <br /> PROJECTADDRESS <br /> Chuck Steinbereer 1528 Rucker Ave Everett WA 98201 __ <br /> P�operty Owner Mail AdAress Cily Slate2�p Phone <br /> Tenant Name pf this is for a commercial busmess) <br /> A+ Sewer Technolories 900 Meridian E STE 19-193 Milton WA 9835A (8881 213-7656 <br /> Contractof Mail Address Qly SlalelZip Phone <br /> SEWERTLA97DT 050789 <br /> WA Siate Contractor License Number(reqwred) Ciry of Everett Busmess Ucense Numbei(reqwred) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer- New Installation <br /> m Install Backwater Valve (outside the building) <br /> C� ,ap off Sewer <br /> f ; ,nstall Water Meter F[E <br /> � �j(') ,�� <br /> � � -- �— ZZ— /S PERMIT1t <br /> gnal Dale � 1 �I„' / _ I O I <br /> � (/vi <br /> Nr�,;c�,,��,o.�,�� <br />