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_ _ . _ <br /> ; WATER/SEWER UTILITY PERMIT APPLICATION I <br /> i CITY OF EVERETT PERMIT SERVICES ', <br /> I 3200 CGDAR STREET, EVERFT! WA 98201 <br /> ' 425-257-8810 - FAX 425-257-8857 -www.everettwa gov <br /> I ' <br /> ' 1 �Z� L<���- u� � <br /> � PROJECTADDRESS � <br /> I�G��I��� / �� — � <br /> PropCfiy �'Nnef 1.!adAUdress Gty :�lalr,/lip Phonn I <br /> �. Tenant Name(If tnis�s tor n co�rrnerr,ial Dus�ness� <br /> , i,S�� T�. � , I <br /> � .�.Cc, ��c�h < ��S � ���.r�,� � �r �� �s � <br /> Co�iractor r;a�,:adres; c��y s�a�c�zip rnnnu <br /> �'� P„� r���stz ��.�.�y/ � <br /> 'I 1Nl� State ConUactor Licence kumber !reyu�redl City ol Everett Busmesc License Number�reqwretl) ��, <br /> Work to be done: ' <br /> p�( Side Sewer Repair <br /> `� � <br /> O Side Sewer Alteration <br /> II ❑ Side Sewer - New Installa6on <br /> ❑ Install Backwater Valve (c�utside ihe buddmg) � <br /> , ❑ Cap off Se�ver <br /> ❑ Install Water Meter � <br /> Ff.f- <br /> ' � �0 D� � <br /> i ° � <br /> , y � �r _�J --- - <br /> �� - _. <br /> ���<"�__� PERMfTa <br /> ______ .__.J'—___.._ _—_.. ^ <br /> � s�9�,��„�. -- ��.,��. u I�b"�I� 6�5 � <br /> �- <br /> 1:�. . i� . .i�� i <br /> �r ..- <br /> .- .. __ __ _ . _.- ._......_ . ._____. . . . . . . . . .. .. . <br />