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� UTIL.ITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C�DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> 2S� 7 �U�tncre �U� <br /> PROJECT ADDRESS <br /> �_ ��,���s �Ls � 3y�- Z��v <br /> Prope Oemer Mail Addrzss City State2ip Phone <br /> Tenant Name (If ihis is for a commercial business) <br /> P,� P � �ii��TYvt 71'tn ��F �� �X l��i� �QV1/o-P �it�� l d �7�L <br /> Contractor Mail Address City State2ip Phonc <br /> IW �/_ �.��c L���1 /,!"� �?-`1 78 _ <br /> WA State Coniractor License Number(required) Ciry of 6verett Business License Number(required) <br /> Work to bc done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer- New Installation <br /> ��1' Install [iackwater Valve (outside the building) <br /> �'� <br /> ❑ Cap off Sewer <br /> ❑ Instali Water Meter - <br /> FLE <br /> � . -�3oao — <br /> C' � � /�tS �S Nr_aMtrr� <br /> — `� <br /> „��` _ __ ��,� � , so3 _ o � s _� <br /> FPVI::I'I�11/19/Xll4 <br />