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- - UTILITY PE�I��IT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR STREET, EVERETT, WA 98201 <br />425-25�-8610 - FAX 425-257-8857 - wv.nv.everettwa.org <br />P� JEC�� T A��RESS '���� <br />ant Narr�h <br />� <br />Mad AUtlress <br />is (or a comin�tcj,�l business) <br />(J <br />� � 13�---1��� <br />1J�dil AtltlfE55 Ci�y <br />� <br />� icense Number Qequired) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — Naw Installation <br />`�I Install Dackwater Valve (outside U�e building) <br />O Cap off Sewer <br />❑ Install Water Meler <br />Ar�-�5=�,,,,,�.��, <br />,�( �-b--i5 <br />� 15��1 � D 3-� <br />��� �Zs� <br />� �� � w'r9� T ��� <br />Cdy SlalelZ��p Phone <br />� <br />Stale2p Pho�e <br />�l/� (./ <br />City of C-veretl Business License Number (required) <br />