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UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, [V[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 –www.evereltwa.org <br /> 1�02 �UUI�/ <br /> PROJECT ADDRESS <br /> �/_U� l � `i_���V_V_ -- <br /> Pfoperty O�ancr b1;ul Address City Slate2ip Phonc <br /> Tenanl Name(:'ihis is for a cummercial business)� <br /> �l 1 �S ���2_11��1�U � - <br /> Conindo� Mail AAdress Cily State/Zip Phone <br /> �1_k��1 I� I /�1.5 1��-L�ZO? <br /> WA State CoMraclor I_icense Number(required) Cily of[verett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ 5ide Sewer �Iteration <br /> ❑ Side Sewer – New Installation <br /> �1 Inslall Dackvdatcr Valve (oi.dside the buildinc�) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Metcr — - - -- <br /> I � E_�_ �3D °v <br /> , <br /> � <br /> , � �- -- - - ---- -- <br /> -- -- --�- -�1 <br /> • ti,'t,��'� _�. ��_��I� ��i:r�r�rr u II <br /> - -- -- --. _ -- -- - II Gf1 1�{I2') II <br /> --- �lign��lmc - -�---- Uale V 1 .JVg r O 1 ✓ ..._. _I <br /> �_ . —__ <br /> It1IVl$CD II/19COIJ <br />