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UTILITY PERN1IT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT VVN 987_01 <br />425-257-8810 - FAX 425-257-8857 - rn�.v� evereltv✓a org <br />� �b � 'L ��_j-� ��1'� -- <br />� PROJECT ADDRESS � <br />i <br />! I��_- -- --�!��-������� <br />Property Ormer �taoAtltlress Giry <br />I <br />; _ `i� �_ - - <br />i�enart Nan•e �if ,hs is for a commercial busin <br />�1%�.��c/3� <br />' ��� l_m�5�{�-�;c.�� ��L---- '��� <br />Contract0� f;a�:AdO�ess C�ty <br />� �������� <br />� S�;ii Sia�e Conlracior Gcrn, �un�Ler (reculred) <br />� Work to be done: <br />� ❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer - NeLv Installation <br />`CJ� Install [3ackwater Valve (outsi_d_e the building) <br />/� <br />❑ Cap off Sevder <br />I ❑ Install Water Meter <br />i <br />Il , an.. : e _.. �f / �a � � _—_ _ _ .. <br />; , <br />i <br />i <br />�Sfate/Zip Pnone <br />� �z� , r ��3��. <br />Slatr.lZ� P�occ � <br />,,f� _ `�,1����� I <br />:ere,t us�ness I icense \umter jrer,u��red) � <br />