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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 /> <t6 C4 <br /> PROJECT ADDRESS <br /> CiCt—I <br /> Property Owner Mail Address City State/Zip Phone <br /> iR Io <br /> Tenant Name(If this is for a commercial business) <br /> 1 . Li 25 <br /> F � ) qc( / <br /> 12, <br /> /1 V <br /> { _ <br /> Contractor Mail Address City State/Zip Phone <br /> WA State Contractor 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 /> Id Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> '-2 14 PERMIT# <br /> Sig at a Date U <br /> REVISED 11/19/2014 <br />