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WATER/SEWER UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, [V[RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - vnvw everettwa.gov <br />a,biq �oe�e�ll�- l�uf� �ve�e.i�LW� �gz��l <br />PROJECTADDRESS <br />�� � <br />Properry Ov:ner <br />?jG1 <br />�,�a�i naa <br />Tenant Name (Il lh�s is for a commeraal buslness) <br />h <br />C�ry <br />��s� <br />S;dl?IZ�P <br />Hzs 9�/ G��� <br />Phene <br />�t 2>`- $7G-)3� <br />sit�t? Co��'ica6�s,LLC i�83Z ybh' /� �z A.'� � 1.�� Fres� F�w�� li/A qgisr <br />ContraCtor ida�.11.atl�ess Ciy SIa1e.�Dp �'ho��e <br />--S.MZcec� es �� , <br />� <br />.` WA S,ate Contractor License Number (reqwred) <br />�'�:. <br />Wark to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Aiteration <br />O Side Sewer - Neve Installation <br />� Instali Backwater Vaive (outside the building) <br />❑ Cap off Sewer <br />❑ Install �Nater Meter <br />/0•-3!!'/S <br />rEw!:LJ u,i'r::o:: <br />Osy �91 <br />Ciry of Everett Business L�cznse Nun�ber (reqwred) <br />FEE � <br />��0,�0 <br />PERMIT: ' <br />U 151�- �D�-i <br />A <br />