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i.iT�LITY PERMIT APPLICATION <br /> CITY OF EVFRETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ' 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> I <br /> � <br /> �3/ � � ��1 S� _ <br /> PROJECT ADDRESS <br /> �l�,�,'� �e �G� « <br /> Property Owner Mail Address . Cny State2ip Phone <br /> ; -s// - <br /> 'i enant Name(If lhis is for a commercial business) ' <br /> �'awtDl-�o ll c 'f' � urv��t+�a '�0. 554 � F�,E.�r-f,}� �� `�Fs2xXo . <br /> CoM�aC—�0�� , Mail Address Ciry Slate/Zip ' Phone • <br /> �".Al'� t�S� l� l`ll'J1S � y7703 <br /> WA SV�ie Conlractor License Number(required) Ci!y o(Everett Business License Number(required) <br /> Work to be done: ' <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installation <br /> [� Install Backwater Valve (outside the building) ' <br /> 0 <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter , <br /> FEE <br /> �� <br /> f�,��� �� /S PERMIT# <br /> Signalure � Date - � �(�'^, ' ' ��� <br /> r�l r I <br /> ✓�.i�-'f <br />� _ orincm ruwnn�e ' . ' <br />