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From:Jennifer Baker Fax:(844)697-3937 To: Fax: (425)257-8882 Page 2 of 2 05/09/2017 12:23 PM <br /> UTILITY- PERMIT APPLICATION <br /> CITY OF EVA ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-vAtww-everettwa-org <br /> 2- <br /> PROJECT ADDRESS <br /> Property Owner- Mail Address city State/Zip Phone <br /> Tenant Name(if this is for a commercial business) <br /> 5�3 <br /> Contractor Mail Address city ip Phone <br /> VIJA State Contractor License Number(required) City of Everett Busine License Number(required) <br /> Work to be done: <br /> Side Sewer Repair <br /> * Side Sewer Alteration <br /> * Side Sewer- New Installation <br /> El Install Backwater Valve (outside the building) <br /> * Cap off Sewer <br /> * Install Water Meter <br /> FEE <br /> �30 <br /> cz;( <br /> P <br /> 16ERMIT#e <br /> Signatu(e Date <br /> U <br /> REVISED,11119a014 <br />