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UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, C-V[RETT, WA 9II201 <br /> 425-257-8810 - FAX 425-257-8857 — �vwv.�.everethva.org <br /> zs �-� � <br /> �� <br /> PROJECT ADDRESS <br /> 2��-� N��u1f')-� �� �'�- Q��� <br /> Property Owncr tvtail Addmss I City Sta;el'Lip Phone <br /> Tena�e 'I( his is for a commercial businessj <br /> �j;�e � -� � � ��- ��___ <br /> _ <br /> ,� � <br /> Cont��cl0� Mail Address Cdy SWte/Zip Phone <br /> s� p�s �� 8�3 K� .��� �o� <br /> WA State Contractor License Num6er(required) Ciry o(Everetl Business License Number (required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer - New Installation <br /> �nstall C3ackwater Valve (outside lhe building) <br /> / <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter PEE <br /> ��D . o� <br /> _ I ��� �� PERMITat <br /> Signa <br /> --1 o�« U i �l 0-017� <br /> nevisen i insaa i� <br />