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UTILITY PERMIT APPLIGATIO►N <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 />�_J�-�� `�" C� ►'�'� OR� <br />PROJECT ADDRESS <br />Property Owner <br />�dail Address <br />Ciry <br />Cy�� <br />a�� � 77% — .�4�5 <br />State/Lp Phone <br />1 � <br />Tenant Name (If this is for a commercial business) <br />- - - - CvzS) � _. .,. <br />COf11f3CtOf MBiI Address <br />M�.�� �"�. K � <br />WA State Contrador License Number �r,quired) <br />1Nork to be done: <br />❑ Side Sewer Repair <br />0 Side Sewer Alteration <br />❑ Side Sewer— New Installation <br />Ciry <br />E�7 Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />0 Install Water Meter <br />- <br />news�n r in¢�oio <br />State7Zip Phone <br />(� �'J � 2J `( V <br />Ciry of Everett Business License Number (reqwred) <br />30°° <br />_ �is I PERMIT# <br />-� � � SpZ -� �{ (� <br />