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i ` <br /> i • <br /> UTILITY PERMIT APPLICATION ' <br /> � CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CLDAR S �REET, L"VERETT. WA 98201 <br /> I 425-257-8810 - FAX 4?5-257-8857 - v�nvw everettvra org � <br /> 5 l � 3 3 e��..w�� ,�-�- �,�_ ' <br /> I <br /> PROJECT ADDRESS ��� � S(o3 <br /> ��' 1 cer� 5113._�e��to��2.__�v c�.oJ�as�,��p_� <br /> ---T�9�- - - -- <br /> !'fopCrtyOwner ���L1nd�ddr��ss Ciy Siate;Ln Phone <br /> _ .__ _ —_ _____ . . . _ ___. ... _—__. __ — <br /> Tenant Name Of this is for a co;nmerr.�al b�.�<.�r,•s;� <br /> ' �� I�]��� � �. _ -�,c�•_� �_�___ ��__����- -���.����'/3l— <br /> CoNrac;or � fda��AComss G:� SntrY� Phore <br /> �l o� wt-s t� � o o.s w��l ��Lc�a C.�_G�t 3_ . --- <br /> bVA Stale Co�trar.tor L�cen,e Number irequ�reef� C�ty of Everelt F;us�ness Licerse Number freq�ued� <br /> Work to be done: � <br /> I <br /> ❑ Side Sewer Repair � <br /> ❑ Side Sewer Alteration <br /> �Side Sewer - New Installalion <br /> � I <br /> � ❑ inslall Qackwater Valve (outside thc budding) ' <br /> ❑ Cap off Sewer j <br /> � <br /> ❑ Install Water Meter -- — <br /> rEE <br /> � �� °� <br /> �� ` �-- — — - <br /> - - - <br /> _— .— -- <br /> i � - U�S P�RruTu ; <br /> ' � --� --_ _ , <br /> ----- - - - -- -- - (��- <br /> Siqnal�rt ' - _ Dale � � /,�� ��� � <br /> .__-. '_�_____—_-. —_-' -_ <br /> � .. . ... • ,.. .r _ <br />