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ti <br /> UTL1Y PERMIT APKIICATiON <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 /> 10 144 a(rj: <br /> PROJECT ADDRESS <br /> Cvr , CA(1-13±33.\- /0 PI /47114: I ,� `?2o1 <br /> Property Owner Mail Address City State/Zip Phone <br /> Tenant Name(If this is for a commercial business) <br /> C.-7,14/itt-hiTh\(gr Po sox MI fl7p, to, 70e 773 7 Y1-11 <br /> Contractor Mail Address City State/Zip Phone <br /> Lit)ELL Ec.12Z.itl. AO - .2 7 <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 p� <br /> PERMIT# <br /> pture 6{11 <br /> Dat U I1;5 4,061' 2 <br /> REVISED 11/19/2014 <br />