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---- ---- ---- <br /> - --- ---- -- � <br /> - - - --- i <br /> I <br /> � <br /> UTILITY PERMIT APPLICATION <br /> �ITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET. EVERETT, WA 98201 ' <br /> � 425-257-8810 - PAX 425-�57-8857 -www.everettwa org i <br /> i <br /> � `iZ� �\�`[�'�0�1 � <br /> I PROJECT ADDRESS <br /> I 11,�.,.� �el�z��r� ��ZB -- l2� c� �ua�� vcvckl �� <br /> � PiopeAy Owner hia�l Address C.ty Slate2ip Phonc <br /> I I <br /> � — <br /> i ienanl Name pf this is for a commertial business) ' <br /> ( <br /> � ����sISS j <br /> � lu��nb ��S+�,p�,��o �...������ �ss�—�`�_ <br /> � Cenlractor L�a�' ,doress Gry <br /> Statcl7�p °h�"�� I <br /> � C�SP1�sS�So� ��4c�� I <br /> WAgtate Conlracior License Number(requ�red) Gty ol Everett Business License Number(requ�re0) <br /> ! <br /> IWork to be dona <br /> i fi�Side Sewer Repair <br /> � ❑ Side Sewer Alteration <br /> �I ❑ S:de Sewer - New Installation <br /> � ❑ Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Wa��r Meler FEE <br /> 3 � C� <br /> � � <br /> 0,3— z � (S PERr�rr� <br /> - S, -� oa,� U i 5 0� — o� <br /> � -- <br /> rivS=J+cip.p0�: __- - __ <br />