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UTILITY PERMIT APPLICATInN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everethva.org <br />� 5 � � �� ��1u �F- <br />PROJECT ADDRESS <br />��k_�, lz,.,,�.� /�/s <br />Property <br />�iail Address <br />Tenant Name Qf Ihis is for a commercial bvsiness) <br />r / <br />�G Nv� �S � /N!'h!�l �4�---- <br />CoNrac�or 1.1aiiAddress ✓ ���Y <br />�,� r�P f319i � �I�� _ <br />WA State CoNractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />O Side Sewer Alteration <br />❑ Side Sewer - New Installation <br />Instali Backwater Valve (outside ihe building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />,;��__��,,..r�,� <br />Cdy <br />l. <br />Stale2ip <br />Statc/Z�a Phone <br />�y�7c�� <br />Ciry of Everett L'usiness Licensc Number (required) <br />FEE <br />�?� �'� <br />P[RMiT# <br />� ��b��a�� <br />i <br />I <br />