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UTILITIES CITY OF EVERETT <br /> ,III Lpi•. . , PERMIT SERVICES <br /> PERMIT , 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1606-031 DATE 6/13/2016 <br /> JOB ADDRESS 12619 16TH AVE SE LOT 4 LEGAL DESCR: <br /> DESCRIPTION NEW 3/4"COMPLETE WATER SERVICE I APN: <br /> OWNER PACIFIC HEIGHTS HMS LLC TENANT /"1 <br /> 620 SE EVRT MALL WAY#350 CONTRACTOR (d�Oj4::) yp <br /> EVERETT WA 98208-4950 <br /> PHONE PHONE <br /> I WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NQ <br /> 3/4" SFR I I SO-13669 APP-18658 <br /> REMARKS' NEW 3/4"COMPLETE WATER SERVICE <br /> NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br /> Contact Tim Markham at(425)257-8833 or by email at tmarkham@everettwa.gov. <br /> TO SCHEDULE CITY WATER CONNECTION CALL(425)257-8827 3-4 WEEKS IN ADVANCE IF METER ONLY INSTALL CALL(425)257-8841 <br /> ISEWER SERVICE I <br /> If you have a sewer blockage outside your home,call Puget Sound Energy first at 1-888-225-5773 to prevent cross bore danger. <br /> SEWER PERMIT NO. PERMIT TYPE LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: DATE <br /> Notify the Public Works Inspector(425)257-8810 24 hours in advance to schedule an inspection. <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm sewer <br /> system. <br /> IFEES <br /> Water Utility Fee 2,514.00 <br /> 10 rr4 2z$ /Zo <br /> TOTAL FEES $2,514.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NUMBER U1606-031 <br /> Applicant Copy <br />