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WATER/SEWER UTIUTY PERMIT APPLICATION ; <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CE-DAfl STREET, [VERCTT, WN 98?_01 <br /> 425-257-8810 FAX 425 257-8857 - tiwnv everelhNa gov <br /> i ,� 32 ��� ��� � <br /> PROJECT ADDRESS <br /> � a � c� r�_2��2--.Z�(�--�— ��c� -(ovZ � <br /> Propeny Owne� f.Wn qad�ess Cdy S!atMTp Pnane <br /> I <br /> �e�ant Name �I't� s�s loi a con.,•.oroal ou5i^es51 --- �--- ' <br /> f��}- Q� wVl � ( �� C.C-.0 �� �l (/��� �al�-�r �I S �l- o �'Z� <br /> C.onIrAC'�t �d16A'1'rs _d�� �!nL.�1ip Fhnnr <br /> I {� I /T7 �I V, /" U! / / I—� U J � ' J W <br /> W� S!a'a Cor1n_!m L���cr;c Nwnber ,re���,.red; CCy o�Eve�eR 9�sines5l �cense Number Ireqwred) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> i <br /> ❑ Side Sewer Alteration ' <br /> ❑ Side Sewer - New InstallaUon <br /> Install Dackwaler Valve (outside ihe budding) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FE[ <br /> � 30 ,°� ' <br /> � I-�'��� � . �r>ER�� �iT� �� <br /> i �,�,,,,��„F. �,:,.� U I '�J � � ' �� <br /> �� .,,<<, .-.,, <br />