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May 29 2015 0847PM G'S PLUMBWG 8 SffiVILE 360{91-�301 <br />'� . S o c.!� l 1 L-.o '�, ��i n.� �n � nr <br />0 <br />UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMI? SERVICES <br />3200 CEDAR STREcT, EVERETi', WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettv.�a.org <br />�� � �UC�.'o.- I� � �C <br />PROJECT ADDRESS <br />Propery Owner <br />Tonant <br />� <br />Address <br />this is for a wrmm�rGal businoss) <br />Contractor !AanAddtivs dty <br />C�SP��s �,� oD <br />WA £tete Contracfor License Number (requi�eo) <br />Work to be done: <br />fJ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Instaliation <br />� Instail Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />Cry ' <br />-��X�h ►'��� <br />SIA!C/Tp <br />s�a�e,z v <br />� <br />P�one <br />�,�-c��i 1-SfS� <br />�,: t• �, �Is 4�F <br />Phcne <br />����� <br />C�ty ol Everett Business Ucerse Ncmber (requ red) <br />PEwSEo ��nsxr� <br />