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i <br /> WATEPUSIER 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.gov <br /> i <br /> 93s`r-Roe-S-E—Everett WA 98208 <br /> PROJECT ADDRESS <br /> Harbour Homes 1441 N 34th ST Seattle WA 98103 206-315-8130 <br /> Property Owner Mail Address City State,Zip Phone <br /> Tenant Name(If this is for a commercial business) <br /> Amazon NW P.O Box 935 Snohomish WA 98291 425-252-6058 <br /> Contractor Mail Address City State/Zip Phone <br /> 600 609 311 039988 <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: J <br /> i <br /> ❑ Side Sewer Repair <br /> I <br /> I <br /> ❑ Side Sewer Alteration <br /> I <br /> I <br /> i <br /> ❑ Side Sewer— New Installation <br /> i <br /> I <br /> ❑ Install Backwater Valve (outside the building) j <br /> i <br /> I <br /> ❑ Cap off Sewer <br /> I <br /> IX Install Wate Meter FEE <br /> i <br /> PERMIT <br /> gnatur Date t ' '��� <br /> REVISED71n94G±- _ -- <br />