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• — --- <br /> �_ — <br /> -- ---.. ------ <br /> ------- ------ --- <br /> UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 —www everettwa.org <br /> c�3 C� '� Ls��:�tJ�'f�r c, S � <br /> PROJECT ADDRESS <br /> �, � <br /> � � <br /> .�,,�s o��_a-�o 5 �. �; ;� s�� w�q�� <br /> Property Owner rda�1 n�fdress Cdy Stalcil�p Phonc <br /> I <br /> ITenant Name (I11h�s is lor a commerc�al business) �b, .��—Tj(�, <br /> _ � <br /> �.��-��� ��.:n Ser.�;c.� (�S�U (�`-l"ES��� �.��}'�e v�.4 5 fsl p3_ <br /> IC[ntr8C10r Ma�lAtldress Gty SlalelLp P�one <br /> �q Tr� �c 310 0`{G �� <br /> WA State Contrador License Number(required) CAy ol Everelt Bus�ness License Number(requireA) i <br /> Work to bc done: <br /> �Side Sewer Repair <br /> / <br /> ❑ Side Sewer Alteraticn <br /> ❑ Side Sewer — New Installation <br /> ❑ Install Backwater Valve (outside the buildina) I <br /> ❑ Cap oft Sewer <br /> ❑ Install Water Meter FEE <br /> �0`'J <br /> �� �Q/yV`^i la� ����'I"' PERMIT# <br /> S� alur¢ Dale f-- �(I I 1 � _ Q �� <br /> ��� ` <br /> REVL'IFIJ fvi].PO�� __'"_. <br />