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� WATER/SEWER UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STR[GT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v,�vnv.everettwa.gov <br />�%2� �n��Oca <br />PROJECT ADDRESS <br />Pwperty Owner <br />Rtail Address <br />7enant Name pf this is (or a commercial bus�ness) <br />Con;ractor <br />�}�'�v%S�'d// G'�(� <br />WA Slate Contractor License Number (reqwred) <br />Work ta e done: <br />Side Sewer Repair <br />C Side Sewer Alteration <br />❑ 5ide Sewer — New Installation <br />L� <br />Gry <br />❑ Instali Backwater Vaive (outside lhe building) <br />❑ Cap oif Sewer <br />❑ Install Water Meter <br />O-1 <br />„��,�E�,,,�:o,� <br />�'Z o <br />State/Zip Pnonc <br />�S�r�-� � ��g —�iZ3 � <br />State2ip Phone I. <br />Q �� � <br />Ciry �f Everett Business License Numbe� (requhed) �I <br />rte <br />1`j PERMIT� <br />� l�(6 —b�g <br />