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UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA <br /> 425-257=8810 - FAX 425-257-8857—www.everettwa.org <br /> Z N2) <br /> PROJECT ADDRESS <br /> ZJ State/Zip Phone <br /> Property Owner <br /> Mail Address City <br /> Tenant Name(If this is for a commercial business) <br /> (Li <br /> �, +J State/Zip Phone <br /> Mail Address City <br /> Contractor _ <br /> City of Everett Business License Number(required) <br /> WA State Contractor License Number(required) <br /> Work to be done. <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> 2" Install Backwater Valve (outside the building <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> PERMIT# <br /> t. Date U <br /> Sig at e <br /> REVISED 1111912014 <br />