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UTILIT'Y PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, [VERETT, WA 98201 <br />425-257-8810 - FhX 425-257-8857 — www.everettwa.org <br />5 _�- I S <br />U�So s � �-.� <br />�aq '���-� A��- ���.,�,.�+� <br />PROJECT AODRESS <br />�r�Na���czNS °����\a�� A.� �.��.-�� � ��� \ 'ta5-��-3- <br />Property Owner Mail Address City State/Zip Phone <br />Tenant Name Qf lhis is for a commercial business) <br />_�.� , �3a3 �'t�"',��M. <br />ConiraCfor J Mail Address <br />C v.���C� C C_ `a��J �� <br />WA Siate Coniraclor License Number (required) <br />Work to be done: <br />�ide Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />Cl�y <br />O Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Waler Meter <br />ttFvc;ED ivisnoln <br />������ <br />Slate2�p <br />'��.5-� <br />Phone <br />�� ��_�� <br />City o( [verett E�usiness License Number (required) <br />`��-a�_ �5 <br />r-E� <br />�eRMrr;r <br />U 15b� � Iz� <br />C� <br />