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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�857—www.everettwa.org <br /> / �'i,{� I/� <br /> !`� yvL �'b�r "f'UvvL� <br /> PROJECTADDRESS <br /> �� w�.,�-t� �, i ��:� ���i�,-� F�.�►.�.� �,.r-►�- 9�.� <br /> Pioperty owner Maa nmress car smmrr� Plane <br /> ZrZ/ �� z,� <br /> 7erent Name(H this is for a comme�dal business) ^„� S y �� _ <br /> ; �Vh <br /> �3-f�F J�I�rv� bIYW 1�� �6 �l UI C'1'�xr�.rvw �_ -�i,�.� � �z} <br /> Contracior ' dtliess Cfi' StetrJ7'�O Plione <br /> �a pl� l � ���i,�/� o�ss� <br /> WA Shale Contrador L.icense Number(required) ' City ot Everett Business License Number(requi� <br /> Wark to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alterabon <br /> ❑ Side Sewer— New Installation I <br /> � Install Backwater Valve outside tfie building) <br /> ❑ Cap off Sewer <br /> ❑ Instaii Water Meter <br /> FEE <br /> � <br /> ��JD �.• <br /> o� P�+� <br /> Sg�tuie ate � � �, I r �f I <br /> �` �.i <br /> �wsmr�nv�� � <br />