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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 /> 1832 Wetmore Ave <br /> PROJECT ADDRESS <br /> Colleen Gamm;�n 1832 Wetmore Ave Everett WA 98201 14251 252-6319 <br /> Property0wner Ma�lAddress C�ly Stale/ZiD P�one <br /> Tenant Name(If this is for a commercial business) <br /> A+Sewer Tethnol=eies 900 Meridian E STE 19-193 Milron WA 98354 (888) 213-7656 <br /> Conirector Mail Aadress Ciry Slate2iD Phone <br /> SEWERTL897DT 050789 <br /> WA State Conlractor License Number(required) City of Everetl Business license Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> m Install Backwater Valve (outside the buiiding) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> ,� �o� <br /> S" � /-s PERMIT# <br /> lure Date U I 50 5 - 03� <br /> RFvbEo f+/�9Ro1a <br />