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• <br /> UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR Si RLE1 , [VFR[1 , WA 98201 <br /> 425-257-8810 FAX 425-257 8857 - www.everettwa.org <br /> Poe-Ke-4 <br /> PROJECT ADDRESS <br /> it-777/-e• /4-11be504 _ <br /> Property Owner Mail Address City State/Zip Phone <br /> Tenant Name(If this is for a commercial business) <br /> -11COe-eil(164k-6-li t2470d feArt 1C)5 I ""l 614- ,e( i-er PAL Y9 7--C69 <br /> Contractor Mail Address City State/Zip Phon- <br /> , <br /> , - <br /> d.)..)-0/0 7 <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> O Side Sewer Repair <br /> O Side Sewer Alteration <br /> O Side Sewer— New Installation <br /> IEK;-tall Backwater Valve (outside the building) <br /> O Cap off Sewer <br /> O Install Water Meter <br /> ri <br /> 00 <br /> • <br /> I'fMiill <br /> 1(J1e ()ate <br /> U FOr6 011 <br /> L.__ <br />