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WATER/SEVI/ER UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C;EDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FNC 425-257-8857 —www.everettwa gov <br /> ��3 Mr�\�, ��- <br /> , PROJECI ADDRESS <br /> � I � < �. ��� M 1e 5fi E�re,-H- l�J � <br /> � Property Owner tdail Atldress Ciry StaterLp Pnonc <br /> Tenant Name pf this is for a commercial bus�ness) <br /> �1.P�a Lo �,��'ec !7�f� , l�1 w � ' '� L�� <br /> Contrac�or tdadAtlaress Ciry Staie/Lp Phone <br /> ��5�����, I- I- I(o ��r�y <br /> WA State Con ractor L cense umber(required) City of Everett Business License Number(reqwred) <br /> Work to bc donc: <br /> �i( Side Sewer Repair <br /> ❑ Side Sewer Aiteration <br /> I ❑ Side Sewer— New Installation <br /> ❑ Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Waler Meter <br /> F[E <br /> 3v p0 <br /> _ ������� <br /> ' �- �-/_-� PeRriR� <br /> SignaWre Date � <br /> I�0��0�� <br /> F6V�SCD mt3^ON <br />