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� , <br /> ' UTILITY PEfZ��IIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa org <br /> �01� 25� ��_ <br /> PROJECI ADDRESS <br /> �' ��5�7 �s�}-r�=-e �,� ��A' ��`=F- <br /> PropertyOwner� MailAddress City Statei7_�p Phone <br /> � � <br /> Tenant Name Qf Ihis is for a ommercial busine s� �.� �O� �h�� <br /> U <br /> ��� _ �c� �� v������ l�A <br /> COMf3Ctor tdail Address Ciry Slate7Zip Phone <br /> C� Z �-� ���'� <br /> WA Stale Contrac�or License Number(required) City of Everett Busmess 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 /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> F[E <br /> 30� 0 <br /> �� �— L�JI 1 PERMIT# <br /> S ature Date 1 ' � � ��� O" _ <br /> U r <br /> FEVIS`D 11/19/tOfJ J <br />