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UTILITY PERMIT APPLICATION , <br /> CITY QF �VERETT PERMIT �ERVtCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257�857—www.everettwa.org <br /> ��31, \�J�,►�ba�- C�) <br /> PROJECTADDRESS <br /> Ce,�e1� 1 r� 583 -Z6'�q <br /> PropeRy Owner Maii Address C0y SrelelLp Phone <br /> i (� <br /> Tenant Neme(If this is for a commercial business) <br /> (4Z5) <br /> �. � -�j ��v� L-Gi��i� c�Q �lJiz�� i�J0. C1��3 a.4'�-L--�1�i59 <br /> Conhactar MeilAadress City StalelZip Phone <br /> /-� ;�;��i �S � L, K � ��3 ���f 8 <br /> WA State Contractor License Number(required) City of Everett Buslness License Number(2qufred) <br /> Work to be done• <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Aiteration <br /> ❑ Side Sewer— New Installation <br /> � Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter �E <br /> �D � <br /> -- � — .- ��S PERMif# <br /> i9 el Date U I � O� ' I I 3 <br /> NEVISFD fV1YM11 <br />