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UTILITY PERMIT APPLICATION <br />CiTY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-b857 — ww�N.everettwa.org <br />i <br />S � � ��- <br />PROJECT ADDRESS <br />S�e vY�,. S-tz � e i S i�,,,,� <br />Property Cvmer � Mail Atldress <br />Tenant Name Q( this is for a commercial business) <br />Conlracfor <br />175�5 �-/I`r <br />atlaress <br />YhJLi�Pf �= ��35U <br />WA State Contractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />City <br />�Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />Revi5E0 nne2oia <br />= „�d-f t�,9 S�'u�i � <br />City <br />,-�,�o _� s� <br />Slate2ip <br />�, wp <br />Phone <br />:�GD <br />Stale2ip Phoie <br />OS3635 <br />City of Everelt �usiness License Number (required) <br />FEE <br />�3�,°� <br />PERMITit <br />U � 5 D�-{ -152 <br />