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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 — w�mv.everettwa.org <br />� <br />? �/ c� /� ST <br />PROJFCT ADDRESS <br />l,!%4Li�dw �v�S-N� 3D/v (f���� ���- vi9A 5��.s�a�6- �x <br />Property Owner Mad Address Ciry State2ip Phone <br />Tenanl Name Qf this is for a commercial business) <br />c� <br />Mail Address <br />�a y�iPrl94w ��l <br />'NA St2te Contractor License Number (required) <br />Work to be done: <br />❑ Side Se�,ver nepair <br />❑ SideSewerAlte- �n <br />❑ Side Sewer — New Installation <br />d �f.. ji�%• G.l <br />City <br />� Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />m <br />�EtY5E0 ttn7lO�d <br />�oo fi�.a �jgo47 <br />SlatelZip Phone <br />o�q��l <br />Cily of Everetl Business License Number (required) <br />FEE <br />�O"u <br />PERMIT;t <br />U 1503-OS� <br />