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�_"._" ._ - . .__. .___ ____ .._ ._ _ . . _ _ . . .__ _".__ '_ — . _ _ . <br /> I � I <br /> UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, f_VGR�TT, WA 98201 <br /> 425-25'I-8810 - PAX 425-257-8857 - www.evereltwa.ory <br /> � � 1 � `� � � / <br /> PROJECT ADDRESS <br /> �.�1�:?/-�k� � �.�1�?/�"/Y <br /> Pfoperiy Owncr �dail Addres Gly Sta�cO_ip Phone <br /> Tenanl Name(If Ihis is(cr a commerclal Uusmess) <br /> �G5 ��3 9� % f�c.��' �b,_�So2 5 3 % ,!���>J�-,�5 r,.1l� �� ZS'� <br /> Conlractor M,���dd��„ ���Y s����,��� 1��_''�z_7YaS <br /> �!6 f�I�'"Gr7 �flS � (� L9��/0 7 ' <br /> WA Stale CoNrarror License Numbcr(reqwred) City of[v^_rett 8usiness I.icense Numbcr (reqwred) <br /> Work to be donc: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Inslallation <br /> [9 In.stall C3ackwafer VaNe (outside Ihe building) <br /> ❑ Cap o(( Sewer <br /> ❑ Install Water Meter <br /> __ — --- <br /> FCC <br /> 3U �G <br /> - ,p� � - <br /> - -- -- <br /> (X- ' 'D�T 15 � 15 ��r�cM�r;; <br /> . ___.s��p,;nu��•— -- --- --- —. .... ---� -i ,��— ._—_ .__ . I ' / <br /> I v I��� ��� 1 <br /> er mtCu i ir�nnm: --_. -- -. . . _ . _ . . . <br /> � <br />