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� UTILITY PERMIT APPLICATION <br />CTY OF EVERETT PERMIT SERVICES <br />3200 CL=DAR STREEI, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� <br />�� Utv v� � <br />PROJECT ADDRESS <br />Prcperty Owner <br />V�— ! <br />f.lail Adtlress <br />Tenanl Name (II Ihis is for a commercial business) <br />� <br />ress <br />_'���01/f i� <br />WA Statc onirador License Number (reqwred) <br />Work to be done: <br />��31'�Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side 5ewer — New Installation <br />v, <br />City <br />stali Backwater Valve (oulside the building) <br />❑ Cap off Se�^�er <br />❑ Install bllaier Meter <br />$Iy�1,lIUlC ��_ � <br />urvis�n iviv�o�a <br />City <br />SIaICIZip <br />StatelZip <br />Phone <br />Phone <br />9 -d/Z <br />—� � / ) J �Y <br />Gly of Everett Business License Number (�equired) <br />- -- --� – // -t�—_ <br />Uale <br />fEE ----- ----- <br />� %�li, �b <br />..�PFRMIT# <br />V ��oW�V�� <br />