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f <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 />I �� � R� �� <br />.► <br />- �-.��c.� '°' <br />`- . : <br />-� �..- <br />Property Owner <br />� <br />Tenant P <br />Mail Address <br />ame (If this is for a commercial business) <br />City <br />State/Zip <br />Phone <br />�'y�Y <br />�.� -,��,� l� �; s s t�� uu .�y�l 7-�,�,�� 11 � ".ri- i'f�> � f� �z s-�� 3- z z� <br />ContraCtof Mail Address City State/Zip Phone <br />1Z� � ��5� �z2 � ,� <br />WA State Contractor License Number (required) <br />Work to be do <br />ide 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 />s�q� <br />REVISED 11/19/20i4 <br />y� <br />� <br />te <br />G37�z� <br />City of Everett Business License Number (required) <br />FEE <br />���� ,����� <br />PERMIT# <br />u ����,p�� � <br />