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UTILITY PERMIT 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 /> —7 <br /> PROJECT ADDRESS <br /> Property Owner ail Address City State/Zip Phone <br /> Tenant Name (If this is for a commercial business) <br /> ELIW-S �D- , <br /> I r, 9�' 66 _R9 <br /> Contractor Mail Address City State/Zip Phone <br /> Ho I Ws o ? V �2-5oa o qua <br /> WA State Con ractor License Number(required) City of 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 /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> PERMIT# <br /> Signature Date U <br /> REVISED 11/19/2014 <br />