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May 01 20i5 0919h'-1 CJ'S PLU^'81NG 8 SEFVCE 360b91-13U1 page i <br /> UTILITY F'ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX �25-257-8857— mvw.everett�va.org <br /> 1�a3 C�1�.� ��� <br /> PROJECT ADORE55 <br /> ��< <I 5m �-�h I ��3 Co( h.� �UC �ck��,�- l�-A <br /> ProoertyOWner tdailACdress y slzte/zip PEon� <br /> Tenan+ "Jame pf!h�s is for a commerc:al business} �`�_ 4� ✓`��, i <br /> ��,�. }r <br /> � � �(���'1����h '�j� , <br /> C � .�� �L�m�1^C,i �St' rv - UC.�� ��U-(��l�lS� <br /> Conlraclor fAaIIAE r s �_ Ciry Stale2lp Phono <br /> � �SPI���t I S v� �Y7%O"1 <br /> WA State Conlractor License Number(reqwred) City o(Lvered Business Llcense Number (reqwred) <br /> Work fo be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— Ne�v Installation <br /> Ca'Install Backv✓ater Valve (outside the building) <br /> ❑ Cap off 5ewer <br /> ❑ Install Waler Meter _ <br /> FEE <br /> �3D��D <br /> PeRr�n# <br /> Slc ure � 10 T U I �v,��(/D� <br /> nE���s[0 tv�vNu � I <br />