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a <br />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 />r <br />��� C�-' _5 f—.^ � c� c� t e <br />PROJECT ADDRESS <br />-� � ,-, <br />/ �`� � � � c: : �v c} �i� ,%. �� � � �'i �-� • � � <br />Property Owner Mail Address <br />I C <br />nt Name (If this is for a commercial business) <br />Mail Address <br />� WA State Contractor License Number (required) <br />Work to be done: <br />� ide Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />City <br />❑ Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />re <br />REVISED 11/99/2014 <br />�%�—� ��- <br />,� �U .�,�r -� � ��� �� Cj� ��,� `�3.: � <br />City State/Zip Phone <br />(3 V��%- � �/ <br />Date <br />State/Zip <br />Phone <br />City of Everett Business License Number (required) <br />FEE <br />,�'�-. -.:., �i.-,'.,. <br />�:, d. <br />PERMIT# <br />U � ��,' �� .�: �; e <br />