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� -- <br /> � <br /> UTILITY PERMIT APPLICATION <br /> CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 4?5-''57-6857 —��ww.everettwa.org <br /> . 6 - ��5 �: <br /> -:.. <br /> U iso 6-01 z '> <br /> Z o �� ��t�-�- <br /> PROJECTADDRESS <br /> �r, �.Y—Z D/� .L✓ lY'LOV �V�l L.�'rF (I �(O • 5 �� �P <br /> Froperty Owne� �v1a�l Adtl�ess Cily Slale/Zip Phone I <br /> i <br /> /�� <br /> Tenant Name pf this is lor a commercial business) � <br /> � � YL � � /l�//��� � lit.�9- ���f-6l Z� . :;�n <br /> CoNractor b1a�i dress City State/Z�p Phone ! �����, <br /> �-���ai�Pd D� ss-� . :_�. �. � . <br /> WA Siate CoNractor Ucense Number(requ�red) Gry of Everett Business License Number(required) � <br /> Work to be d ne: <br /> ide Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side 5ewer — New Installation <br /> ❑ Install Backwater Valve (outside the building) � <br /> ❑ Cap off Sewer . <br /> ❑ Install Water Meter � <br /> FEE '4 , <br /> � OW <br /> ,lp'Z— � S PERMIT# <br /> re Date ` � I�O /,_ � O � C.� <br /> �r <br /> REVREo+Vi94ala <br />