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UTILITY PF_RMIT APPLICATION <br />CITY OF F_VERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVFRETT, WA 98?01 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />Z� ZI <br />PROJECT ADDRESS <br />E��a <br />Properiy Owner <br />l.eXiin'� �a� <br />n <br />Mail �tltlress <br />Ter.ant Name Q( this is for a commercial business) <br />�� SG <br />�i�i C�� �eG�, 2D7�S �. �S�t�'�— <br />Con�ractor Mail Address Ci�y <br />�RZCor��6sK� <br />WA State Contrar.tor License Number (required) <br />`Nork to be done: <br />C�' Side Sewer Repair <br />❑ 5ide Sewer Alteration <br />❑ Side Sewer - New Installation <br />❑ Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />_. ,, ..,, <br />Q-�a-�S <br />U i SO ��-0� �- <br />City StatelZip <br />����s <br />��e=_1r�4 9� <br />StatclLp <br />Phone <br />; ZD�-zS$-SZ�o <br />Phone <br />/�53?�1 <br />City of Everett Business License Number (required) <br />F[[ <br />-3 �°� <br />���� �� PERMITt! - _ -- <br />— ��,«- --- - u I�bB-d�a � <br />