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Jun 11 20.'5 09:48FM CJ'S PLUMBING & SERVICE 3�i0�E'i91-1301 page 2 <br /> � � ------ <br /> U i ILITY PERIVIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wwnv.everettwa.org <br /> � �n I � �tf�es <br /> PROJECT ADDRESS <br /> / <br /> J.� �-_I--,�� r �n J(o17 (�=cK�S �j�,�P��!- l�� <br /> Proporty Owner Meli nddress Ciry s�aie2ip Phone <br /> Tenant Name(If this is for a commerclal buslness) <br /> l_����l,i rr��nq G n.n.t ���'�X\��1\��1� �IG 1 f�.0 f�-115, �4�-Y <br /> Con;ractor M ddroas Clty State/Zip Phanc <br /> �� SP � �P ��� �� v � ���7c� <br /> WA Stele Co traclar License umber(required) City of Everett Ausiness Llcenso Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installation <br /> �install Backwater Valve (outsido the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meier <br /> FEE <br /> 3��� <br /> �=� � � � <br /> PERMITN <br /> ignaiuro Date � � �•� / - r�, (' � <br /> � �� v 7 <br /> nEhSEa rv�uM�� __ <br />