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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREi-i�, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />��,12 C�� <br />PROJECT ADDRESS <br />Property <br />', � ��.�z �-� <br />Mail Address <br />� <br />Tenanl Name (If ihis is for a commercial business) <br />.A��e.� ccw. �'c�iiG . . <br />CoNrac�or Mail Address <br />f <br />A���l 9S r��� KL. <br />WA State Contraclor License Number (required) <br />Work to be done: <br />O Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />City <br />1g Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ install Water Meter <br />,:��,5,,�,,,,���„ <br />��-�Zc�� <br />;ti , �.UG , 25`1 `zi173 <br />City State2ip Phonc <br />(.�{,Z�� <br />,_`��o)G � 2JlY—� 4.5� <br />St le/Zip Phonc <br />b�i3�� <br />C;ity of Everelt Business License Number (required) <br />l7/ls <br />FEE <br />��-� G% <br />PERMIT# � <br />u �5�-b��l <br />