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. • • <br /> lJ°TILITI( PERMIT APPLICATI�IV <br /> CITY OF E�lERE�T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257=8810 - FAX 425-257-8857—www.everettwa.org <br /> � <br /> � � ���� S� <br /> PROJECT ADDRESS ����� <br /> � ;�r, r��.���,�� �7L�'�%� Z_�- C�� ���;� ,�� ��c� '--�;��,� <br /> Property Owner Mail Address City StatelZip Phone <br /> ';�, �„ ii() �-' <br /> Tenant Name (If this is for a commercial business) <br /> � _ -� -� - <br /> . �.� . <br /> � , �- C� ' ;` r -.1l�c'a � w'i"? 6��� �- �-'-��-- I,[ a �° c� �.�:'h� � �t-� �:�`a t� <br /> � �. c L'? � <br /> � � ,� � �� ' L.. , . �c ' ._ <br /> Cont�actor Mail Address City State/Zip Phone <br /> _� �.=�. <br /> ,=�; 1 S•'.�:..`�;.� ��"� (_ ,G� �, 'C'�, �-- �-_,,� � `� `�C --' <br /> VVA State Contractor License �umber(required) City of Everett Business License Number(required) <br /> VVork to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> C-�!Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> �fd :�. .; , � <br /> � <br /> _ ` <br /> �`'�Es. � � <br /> ..._..._.___-� •;' ,; � _--- �- — -- PERMIT# <br /> -- . _.._....... � <br /> � � <br /> � ,- .�- _�� :. N- � ate G ��'� �d � <br /> . Sig at�,e�.` � � �,g��� � �-��`. . <br /> i. <br /> �m,,, <br /> REVISED 11/i9/20i4 __ ___. <br />