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- - --- - ----- — � <br /> • UTILITY PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wv✓w.everethva.org <br /> `� 723 c ol uv l��t <br /> PROJECT ADDRESS <br /> G��'n� ��" � ��23 co►� A�t E�t«k� W� <br /> Propedy0�rmer MailAddress City SlalefLip Phone I, <br /> Tenant Name (If this is for a commercial business) <br /> � �� 12o�Cr ��O CS ?�l/v�4-,���rs,Ft.-,�� 61J� ��Vlrt{� (l14 �12$�Z I�f-�-I 1Z� <br /> Contrector Mail Address City SWte2�p Phone <br /> �0-4-o�C�Z2 '� � C') 3��7��-� <br /> WA State Contractor License Number(requi�ed) City of Everelt Business License Number(required) <br /> Work to be done: <br /> J� Side Sewer Repair <br /> ❑ Side Sew�r Alteration <br /> ❑ Side Sewer — New Installation <br /> ❑ Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter F�E <br /> � <br /> ��� <br /> �a a� s PERMIT# <br /> �nalurc Date u�5 03, � Z� <br /> a�v�sro imn2or+ <br />