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UTILITI( PERMIT APPLICATION . <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-6810 - FAX 415-257-8857—wuvw.everettwa.org <br /> 1�02 W e-E-v�a�e (crz5) <br /> PROJECTADDRESS <br /> �owc�� S� U � o ( �Z WE�ww��c- t'-v�P� IIJC� � Z� —02O10 <br /> Property Owner Mai�Adamss Ciry <br /> Stat�p Phone <br /> i � <br /> Tenant Name(If this is for a commercial business) <br /> (�125) <br /> � �� �.�auC�.-a��c� c�R C11 'w•"�%II WA Cs��3�D3 2.+-iti-- �i�i59 <br /> �� Phone <br /> COfitfOCjOf MaAAddfe55 <br /> /� M��i 5� �� � K � n�3 ���(8 <br /> WA Stale Contractor License Number(required) Ciry of Everett Business License Number(reqwred) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New installation <br /> E7 Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FtE <br /> � 3D- °� <br /> = Lr—�j— �S PERMCT# <br /> . Sig at f� Date I ' I�Ol-� � O(,�� <br /> V v <br /> aevrse�r�nvtoia . .._ <br />