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0 <br />UTILITY PERMIT' �►PPLICATION <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 />� <br />2-� �`� �. <br />���� ��. <br />PROJECT ADDRESS <br />„ n w °� 1 . .� r � - n '� �. .. . .. n� <br />Property <br />Maii Address <br />City <br />��-��=�) <br />5 � �— �� G� <br />State/Zip Phone <br />''�a t � 1%� �' <br />Tenant Name (If this is for a commercial business} <br />a' �-!`� --� J.^� / r:s � �; ��� . � ��`"12`j � �. C� � � <br />k`�- "� _ '� , caf,�v i.� �a, % �. �G � L� c� �, � �%� tC �-' �i � �✓"!: �i : � � v�`� �l <br />Contractor Mail Address City StatelZip Phone <br />'� � �., �� �� �� � i°�,1�. c`�;, e� � �J ,`� � <br />WA State Contractor License Number (required) City of EverettBusiness 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 />� <br />� <br />REVISED 91/19/20i4 <br />�- ��-- i� <br />FEE � <br />��o � s <br />PERMIT# <br />U i(�� 9 0� <br />, <br />� <br />� <br />