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Apr 1� ?015 11:04AM G'S PI.UMBlNG 8 SFRVICE 360 691�1301 page 1 <br /> , a -- -- <br /> ----- <br /> UTILITY PERMIT Ai�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - �� 42�-z57-8857 —w�nrN.everettwa.org <br /> I � 1� � � <br /> PROJEC7 ADDRESS � ��I <br /> /1 r <br /> �'',.,X1 t � <br /> �� � � "� �,ty State2lp � / Phono <br /> Property Owner hta��lAddress �T�— s�a -�7���I <br /> I � f �y <br /> ` I <br /> Tenant Name(If t is is for a commerclal business) '�L'J"�G"(� Sr� ' I <br /> �j� � ��v�,l ���5 ��� <br /> � l �� P��n h I �^ ��( Q � G7A---� ! <br /> L p:t. SIa1rJZlp P�env <br /> ConUactcr ht d are�s � <br /> c��S PL Ps ��� s o � o�l� �c� <br /> VJA Stale Conirattor License Number(reqmredj City of Everett Bus�ness Licensa Number (reau��ed) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installat�on <br /> �stall Ba�kwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> . /�� <br /> � � ! I PERh11T� —' 1 <br /> Signat Datu � I��� /SQ� <br /> � VV <br /> Arvrse�rrna�oi+ <br />