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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 - www.everettwa.gov <br />5Co11 East D6\iP r yere1 A 9920-1 <br />PROJECT ADDRESS <br />Property Owner <br />Mail Address <br />Tenant Name (It this is for a commercial business) <br />(SQo`aet Inc -we <br />Contractor Mail Address C.ty <br />m e Q�QP'� � 22NE <br />WA State Contractor License Number (required) <br />Work to be done: <br />6 Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer- New Installation <br />❑ Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />City <br />State/Zip <br />State/Zip <br />0 <br />Phone <br />Phone <br />0 3SOEQ <br />City of Everett Business License Number (required) <br />C�-� Fir creeQ,c� <br />t <br />co�� P2q I <br />2C � <br />�{CCON <br />ale, �eC- <br />� 30 ram <br />PERMIT# <br />FA <br />RCVZ"Sll/12120141 <br />1,1:aepd 1SB84S2S2bT:0l :wojj 12:60 ST02-£2-d35 <br />