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�=-- - - - - <br /> UTIL.ITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-B810 - FAX425-257-8857—www.everettwa.org <br /> �as 3�"� S-� <br /> PROJECT ADDRESS <br /> �..li.� S e dor � �� ��s ��I-s <br /> Propedy Owner A�ail Addre�s City State2ip Phone <br /> Tenanl Name Qf this is for a comme�cial business) <br /> �P,II,�PS� G�n< 1�u�71'o-n �.� po �3ox iy���✓IaY1/o-P� �it� lP�7�- <br /> Con�raCtor Mail Address City Sta�e�Lip Phone <br /> I� F/_ �L��c L`���i l,tN� ��2-`1 ��' <br /> WA State Contractor License Number(required) City of Everett Business License Numher(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 /> O Cap off Sewer <br /> ❑ Install Water Meter ----- <br /> FFE <br /> � 30 °� <br /> ��� / -- - <br /> C' " � /� /� PERMiTIt <br /> / <br /> �� -,���� - - o��� U I S o 3 - o$�{ <br /> �Ev�scn rrn?rloin <br />