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• UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425 �57-8857 — www.everettwa.org <br />��i'SZ I,t12�'�1�Y`(i <br />l 11 .7 �al� � � � � <br />PROJECT ADDRES . , <br />(�� �53 g {� <br />Tenant Name (If this is for a commercial business) <br />CoNractor <br />����� � <br />WA State Contra:ror <br />Work to be done: <br />❑ Side Sewer Repair <br />� Side Sewer Alteration <br />Cily <br />❑ Install Backwater Valve (outside the building) <br />G Cap off Sewer <br />❑ Install Water Meter <br />REVISED /1/f92G7e <br />Stat�2ip <br />Phone <br />C��-r�9�i <br />City of Everett Business License Number (required) <br />. <br />� -ZS�-�Ql <br />FEE <br />PERMIT# <br />u �503�1�3 <br />