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WATER/SEWER 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.evereltwa.gov <br /> .��1 ��'`-� �� <br /> PROJECT ADDRESS <br /> �.11� I�R-�11,�no�� ��15 ��z�.�2 ���7�n,�)Cc , ?� — �"56� <br /> Prcperty Owner M11a�i Atldress Gty SlateRip Phone <br /> � <br /> Tenant Name Qf this is for a commeraal bus�ness) <br /> `►-(n/�.e.lfi.rlLC,tJI/� l L��-C.�J <br /> �,'� ,l S��e�..��PI� 2.�06 C�.e,l,� D�. �U��� ���- qYs1 <br /> Cor.t ac;o� �.�ad Ada�ess C�ty SlaleZp Pnene <br /> � <br /> r��, s5 � I �� 05 3 ��, <br /> VJA State Contraclor License Number(reqmretl) Ciry of Everett �usiness License Number(reqwretl) <br /> Work to be done: <br /> ❑ Side Sewer Rep�ir <br /> ❑ Side Sewer Afleration • <br /> ❑ Side Sewer — New Installation <br /> [3 Install Backwater Valve (outside the building) <br /> ❑ Cap o(f Sewer <br /> ❑ Inslall Water Meler <br /> FEE <br /> "J� 06 <br /> �� '�� ^ ` S PERh11T# , <br /> 9 , � — oaic l� �� t V — � � � ' <br /> r,:'. Srp., r:-:•: _ .. - .-____ . <br /> .. .--'_ _ -.-____ .__ _ _ __ - _ <br />