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- UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRFET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvwv.everettwa org <br />��I���,i► l� � <br />PROJECTADDRESS <br />fSfOpcilVOwnCf lriadl�4tlrC55 / GIy Sldle/Zip Phone <br />Cpp�raClOr btail Atltlress Cdy <br />/ <br />�� �'CL- �n�.l�.�i <br />W otate Cenlractor L cense Number (requimd) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installalion <br />Ins;all Backwater Valve (outside the bui!ding) <br />❑ Cap oif Sewer <br />Sld�c/Zip <br />Phone <br />Cily o( E� ss Licen�(required) <br />❑ Install Water Meter <br />FEE <br />� .,n <br />