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UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857—www.everettwa.org <br />4226 Rucker Ave <br />PROJECT ADDRESS <br />Peter Arnestad 2312 Kenilworth PI Everett WA 98201 <br />Property Owner Mail Address City StalelZir. <br />Tenal ,t Name (If this is for a commercial business) <br />Phone <br />A+ Sewer Technologies 900 Meridian E STE 19-193 Milton WA 98354 (8881 213-7656 <br />Contractor Mail Address Gty Stale/Zip Phone <br />SEWERTL897DT <br />WA State Contractor license Number (required) <br />Work to be done: <br />0 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 />gp�11, ygrW py WnX <br />rw mm'eX.o �,, 5/8/15 <br />'ignatum anX :roisas oemsx ra arov Dale <br />aevlsrD 1 roa2vr. <br />050789 <br />City of Everett Business License Number (required) <br />PERMIT# <br />U 1505 0 6 D <br />