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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 425-257-8857 - www.everettwa.org <br />�l� �Uc �P C ��� <br />PROJECT ADDRESS <br />S�A��n 9/$ �uc.ke� ive E✓e�e�l r� �Zszsz- �- <br />PropehyOwner M,aJAddress GIy Slale/Zip Phone <br />Tenant Name (If this is for a commercial business) <br />�i <br />Address <br />fQ��LuL� Dll P1� <br />WA Stale CoMraclor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />� Side Sewer - New Installation <br />Cny <br />�Install Backwater Valve (c�tside the building) <br />� Cap off Sewer <br />❑ Install Water <br />r,EwsEn >>nsea �a <br />� 9Sz� y�5 y$�-o�Zz <br />StatelZip Phone <br />05755(� <br />City of Everetl Business License Number (required) <br />FEE <br />P[RMIT� <br />U I 5b 5� v(�3 <br />