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- --- - _ <br />---- __. _ --- - <br />- --- --- - _ _ _ <br />_. . � � <br />UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3?_00 CEDAH STREET, FVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www everettwa org <br />� �� � , eeC� 7� <br />� ----- <br />PROJECTADDRESS <br />�_�f Z T�-���� , P� o � /U <br />Property Owner r.t., i�adress� � C�ty <br />Tenant Name (If lh�s is �or a commerc�al business) <br />L�o��?�5. is�t',� <br />COnhBC10t Man Adtlress Qty <br />���c���g�5 L<z --- <br />W� State Contrector License Number (reqwred) <br />Work to bc done: <br />�Side Sewer Repair <br />O Side Sewer Alteration <br />❑ Side Sewer - New Installation <br />O Install [3ackwater Valve (outside the building) <br />O Cap off Sewer <br />❑ Install Water Meter <br />,�,,..�,,.,�.,,, <br />L ��cd--� lnl�_ <br />State2ip <br />Z7 <br />Pnone <br />UJ ��1�� �za� _2S�'-� <br />Slale�2ip Phone <br />�� � - <br />Gty ol Fve�ett Business License Numbe� (reqwred) <br />�. <br />f [ E -- — — -- - <br />�v (�� - ---� <br />PERMITu = --- — I � <br />U I��i�-OS� ; ; <br />- -- -- ; <br />