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I + <br /> I <br /> UTILITY PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES ; <br /> 320o c� i�ni: �� i fzi � i , i v� �:i i � . wn ��fi1�>> � <br /> 425-257-8810 f /\X 42�> 2��7 fif���7 vwvw_���v�r�c�lw,� ��iy I <br /> �� I <br /> .>> ,� � l �_�Z �r�,i3-�'� I��rc� <br /> PROJECT ADDRESS <br /> v <br /> �� �' �(�I�`�►'�d�1 L%-!� �1�-a�`L�� �Z�`yl� �Z��� <br /> Property Owner nnail nddress �;�ry t,t;�t�,v��� ��fi�,i,�� <br /> Tenant Name (If this is for a commercial business) <br /> �� � l�5 � ° N- �L c. J > r �, ��, � <br /> J ;/l". � :� � � �7( � r- � -� � � i r-�� <br /> �'1� -�'F- ���l ! /-vC//'�i�r ��,�, __. . ��j 1 r— �-��_ �� _l�i �� �,� "�u_ �1�� �5 <br /> - -- <br /> COntraCtOf Mail Addicss (:ily St;ilr//i�� I'lion�� �- <br /> .r . ,. <br /> �f j�� <;,�,Z - 7��>> <br /> _ � <br /> � ,�i�z ��� �1 �� � c�.� �'> > E� i �% 7 <br /> ----_ ____ <br /> WA State Contractor License Number(required) City of[-verett liusines:; I icense Nurnber (required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> L� Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> � <br /> ❑ Install Water Meter ' <br /> � � � ' <br /> - `��� ��� � <br /> f � -,� <br /> � � <br /> , <br /> , � <br /> �`�� ' '� �`, /� �// � I ��i �:M i i f: I <br /> i ;�,,�,����� ��r,�' i _ � <br /> i � U ���� � �y � <br /> � , ,, <br /> �_ <br />