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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —wwvd.everettwa.org <br />ZZ2� I��.�,�-�-� <br />PROJECT ADDRESS <br />Property O:vne� iJ�ail Atld�ess C�ty SlateiZip Phone <br />Tenanl Name (I( ihis is` for a commercia� b�� �� <br />� r� . <br />CJ <br />MaJ AdCress City � State/Zip Phone <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />�]� Install E3ackwater Valve (outside th� building) <br />� � <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />newsEu <br />� I � J �� <br />City of Everett Business License Number (required) <br />FEE <br />PERMIT# <br />U 1��-��5 <br />