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� <br /> . <br /> UTILITY PERMIT APPLICATION i <br /> ; CITY OF EVERETT PERMIT SERVICES ' <br /> � :3z�o �:i i�ni. ���i:i i i i vr i:� i�i . wn �3r3:��>> ! <br /> 42ri-257-fif31i) i l�X �1 i 157 Yfi�il www.��v��<<rliw,i ��<<� <br /> � F <br /> ��;'� ������������--�c�� i�i�=� ���;-- �J f��"��B <br /> PROJECT ADDRESS <br /> . <br /> �"�,��� � � �i�� c � _ �������y /`��`� <br /> P�Op�fty OWne� Mail/�ddress Cily :�L+IiJ/iE� I'lu�ne <br /> ----- _ <br /> Tenant Name(If this is for a cornrnercial business) <br /> . , - <br /> �t�i�-t'L� ' �1- �� ' � �� ( j ` E. <�'� �( , _ � _ � � , ` . �: ( � �� <br /> �Ew `� �LIlC-,� � C1-(, C`•'- / -�-- ��l fC � F l�C /� c`a� /ll� ��� �S�C �t <br /> COIII�aCIOf Maill�ddrCss City t;t.�ic/!q� ;�/ i -� I'linn�� t� <br /> 1 � � �� �• �'( C' `� <br /> .�� C . <br /> `' � �'r T���- ��C'�E�'�J � �.�- �l�.] � /�-' � <br /> ----- - __ __ _ _ __. --- <br /> WA State Contractor License Number(reyuired) Crty of E v��i�rtt l;us�nes�; License N�unbe� (reywred) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installatior� <br /> Q Insiall Backwater Valve (outside the buiiding) <br /> ❑ Cap off Sewer � <br /> i <br /> I ; <br /> ❑ Install Water Meter ! <br /> iii <br /> i <br /> �,�� i <br /> � �� ' <br /> i . � � <br /> ,.- � <br /> ; ;� . ._� � <br /> (�� �,.-- � �� ��� ; ��� �:�,� � , <br /> :Ir;ii i�iu� n:i�_r <br /> � � <br /> � � � � �� ������ <br /> I � � � <br /> i <br />