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UTILITY PERMIT APPLICAI'ION . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257=8810 - FAX425-257-8657—www.everettwa.org <br /> ��1.(� � ��JC.�P� �u2�� <br /> PROJECTADDRESS <br /> c � � L-l.�1 �,�ckeR ����� d� 3�Z� ���'�— <br /> �[Q�V l5 t��ti o , <br /> State2ip Phone <br /> Property Owner Ma�i nddress �'ty <br /> i U <br /> Tenant Name(If this is for a commercial business) <br /> (�i25) <br /> �. �-�j �,�cuG L.c,cl�c� dQ �11t�2e—II W o. ct��o� ,z�i�-i,--�i�t5�1 <br /> Stale2�P Phane <br /> COOtf0Ct0( MailAddress C� <br /> �t�t�� 55 4=3� � K � c5�3 d��(8 <br /> WA State Contraclor License Number(reqwred) City of Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New In:stallation <br /> H� Install Backwater Valve uutside the building) <br /> ❑ Cap off Sewer <br /> ❑ Instali Water M�ter FEE <br /> � �� c�. <br /> � PERMIT# 1 1 <br /> Sig at JV Oale ' I �GDLp_ �1�� <br /> v V � U <br /> p6visenrmsnma - . — <br />