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WATER/SEWER UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wvaw.everethva.gov <br /> � '�2.02 C.� ��D� �'fU� <br /> PROJECTADDRESS �uZs� I <br /> J�ASv� �v��r� INla�il �ZUZ �Ol�J�1 � '' '��� �CP � 53U - L/!G� I <br /> Property Owner IAail Address City State2ip Phonc I <br /> � I <br /> Tenant Name Qf this is for a commercial ousiness) ; <br /> ���-,�. Cu25� <br /> s�r�r� r�.�,�Q S;d�Sec.�leR Z6o� Ld�.l�� DK_ av�".r� u.t� , ���{- 99 3�7 � <br /> Contractor 1.1ad Aadress Gry Sta;G ip Phor,e '� <br /> � �W1E"�,�kt� S��� ��l_ ��J 3 '3r �H <br /> WA State Contrador License Number(req�.red) Gty ol C-verFtt B�.siness License Number(req�ired) <br /> I <br /> Work to be done: � <br /> ❑ Side Sewer Repair <br /> � <br /> ❑ Side Sewer Alleration � <br /> � I <br /> I <br /> ❑ Side Sewer — New Installation <br /> Lq Install Backwaler Valve (outside the building) � <br /> I <br /> � O Cap off Sewer I <br /> ❑ Install Water Meter , <br /> FE[ ��OO j <br /> i I <br /> / G/ ( ` r � P[RMIT# <br /> � oatc U (l��� ' D� 2 <br /> RCl'6rD 1 PI99f IJ <br />