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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 />°!<32 ���e,✓ <br />PROJECT ADDRESS <br />� � 1� <br />Property <br />Mad <br />Tenant Name (If Ihis is for a commercial business) <br />Gty <br />�awt�he�lls ��ur���r�a �?0.554► <br />ConlraCtor Mail Address ���Y <br />C�tM�A���l� �1S <br />1NA Slate Conireclor License Number (reqwred) <br />1M1'ork to be done: <br />❑ Side Sewer Rapair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />S <br />onncm n��onme <br />. <br />Slalc2ip <br />Phonc <br />State2ip Phone <br />Oy77fJ� <br />City of Everelt Business License Number (required) <br />FEE <br />� 3D.`�� <br />PERMIT# <br />uL50�-a4� <br />