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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 /> /26_eize <br /> PROJECT DDR SS S'-42j <br /> /Lef eti s /24,6/ y <br /> Property Owner Mail Address City State/Zip Phone <br /> Tenant Name(If this is for a commercial business) <br /> 1179— picri.,,-1 '1,0_1 1/ - i z_ <br /> Contractor Mail Address City State/Zip Phone <br /> 7—(4r-ell/a DS- 7 <br /> A S ate Contrdctor License umber(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 /> stall Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> #W. <br /> e / S PERMIT# <br /> Signature Date U 16 ,0(0-6q. <br /> REVISED 11/19/2014 <br />