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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E_VERETT, WA 98201 <br />425257-6810 - F.4X42S25i=8857—www.everettwa.org <br />4224 RuckerAve <br />PROJECT ADDRESS <br />PP�er Arnestad 2312 Kenilworth PI Everett WA 98201 <br />PropertyOwnEf MaillWEress Ciry SIaM1Lp Phone <br />Tenant Name Qf this is for a cnmmercial business) <br />A+ Sewer Technolozies 900 Meridian E STE 19-193 Milton WA 98354 18881 213-7656 <br />Contredor Mail Adtliess Ciry SlalelLp Phone <br />SE W ERTL897DT <br />WA Stale Contraclor License Number (required) <br />Work to be done: <br />m Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />� Install Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />Uc'I�P/ WrM�r Wea <br />ON m•weita.m. <br />REVISEO �V�9?01� <br />050789 <br />City of Everett Business License Num6er (required) <br />FEE <br />� ��.�� <br />PERMIT# I In <br />U I505r 0 l I <br />