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A;r �: ?015 Cc•C9lt-'� G'S PLU�'E31NG 8 S�iV.CE 360091130' <br />. � <br />� <br />IJTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVER[Tf, WA 9&201 <br />425-257-8810 - FAX 425-257-8857 — �wrw.evereltwa org <br />� �_ ��� �,) � �,\��. f��J� <br />I PRDJEGI'ADDRESS <br />I i"�.�� �� h 1�l i'� � �� �� \J � i�l �(�C�l"—TV G. <br />Property Owncr <br />Ida.l Acd�es. <br />Tenant Name (f ;his is'or a commercial husinoss) <br />Conlr2etor 1.1an���ess ' Cdy <br />C� SP�- PS �l I s Or� <br />�VA Stete Contredor License Nurtibnr (required) <br />Work to be done� <br />❑ Side Se�ver Repair <br />0 Side Sewer Aiteration <br />Ll Side Sewer - New Installat�on <br />Install Backwater Valvo (outsido the buildinc; <br />❑ Cap oft Sewer <br />❑ Install Water Meter <br />HEVGFO � v/o .01� <br />G:y <br />! <br />� /ln_ �' <br />�� <br />— ���' <br />PFo�a <br />�,�-U4�-S7.s" <br />;-ih �i�C �G � ��?r�,�-��� _��111��� <br />� Ph�ns <br />O y��d7 <br />Ciry of Everelt Dus���ess License NumSer (required) <br />�I( <br />FE[ <br />3C�`�' ; <br />PERMITa <br />U I �O�-1�� <br />