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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 /> Ridgecrest Park <br /> 9316 ��r.��a�� =��', Everett WA, 98208 �l b� `i2 <br /> PROJECT ADDRESS <br /> Harbour Homes llc. 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 /> Cajun Excavation 602 Maple Ave Suite 201, Snohomish WA/98290 (360) 863-2095 <br /> ContraCtor Mail Address City State/Zip Phone <br /> #CAJUNEI103C2 601-222-035 <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 <br /> � Install Water Meter <br /> FEE <br /> ,—� V �r ��� 'L� <br /> � -��x���/' , �� Z_-------- 04/01/2015 PERMIT# <br /> Signature ,_:% Date � X�� � � ��� <br /> � l <br /> REVISED il/192014 �D � <br />