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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 /> 1531 Wetmore Ave Everett.WA 98201 <br /> PROJECT ADDRESS <br /> Maft Freed 1531 Wetmore Ave Everett WA 98201 (3601 460-2 40 5 <br /> Property Owner Mail Adtlress Ciry StatelZip Phone <br /> Tenant Name(If Ihis is for a commercial business) <br /> A+Sewer Technoloeies 900 Meridian E STE 19-193 Milton WA 98354 (888) 213-7656 <br /> Conlrador Mail Adtlress Ciry State2ip Phone <br /> SE W ERTL897DT 050789 <br /> WA Slate Contrador License Number(required) Ciy oi Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installation <br /> 0 Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> 3� �� <br /> �� �' Z�—�S PERMIT# <br /> i ture �ate t ' � r^�_ II� <br /> U JU <br /> REVlSED Iv19?01/ <br />