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r <br /> WATER/SEWER 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 /> PROJECT ADDRESS <br /> Property Ow er Mail Address City State/Zip Phone <br /> Tenant Name(If this is for a commercial business) <br /> q vat <br /> Contractor Mail Address City State/Zip Pho e <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> ��l Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> PERMIT# <br /> gnature Date <br /> REVISED 11/1912014 <br />