Laserfiche WebLink
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.org <br /> PROJECT ADDRESS `- 6) <br /> K�tJiq 7, <br /> Prope Owner Mail Address City State/Zip Phone <br /> n e - - <br /> Tenant Name(If this is for a commercial business) <br /> Contractor Mail Address City State/Zip Phone <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 /> ®` Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer f <br /> I <br /> I <br /> ❑ Install Water Meter FEE <br /> 60 <br /> /A6 PERMIT# <br /> Sig at e Date <br /> REVISED 11/1912014 <br />