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UTILITY PERMIT APPLICAT40N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S�fREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />1512 20th St Everett. WA 98201 <br />PROJECTADDRESS <br />Jerrv Owen PO BOX 82325 Kenmore WA 98028 (425) 698-5085 <br />Property Owne� Meil Address Ciry Statr.2lp Phone <br />Tenant Name (if this is tor a commercial business) <br />A+ Sewer Technoloeies 900 Meridian E STE 19-193 Milton WA 98354 (8881 213-7656 <br />Contrador Mail Address Ciry State2ip Phone <br />SE W E RTL897DT <br />WA State Contrador License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />m Install Backwater Valve outside the buiiding) <br />❑ Cap off Se�ver <br />❑ Install Water Meter <br />FEVISED 11n9/N1J <br />050789 <br />City of Everett Business License Number (required) <br />�o pb <br />PERMIT# <br />�! ����'4� <br />