2406 8TH ST 2020-05-18 - Laserfiche WebLink

II.. WATER / SE'ti! E .. UTILITY APPLICATION CITY OF EVERETT PERMIT SERVICES VE 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT ADDRESS: 2406 8th St Everett WA 98201 IF APPLICABLE: ❑OUTSIDE CITY LIMITS ❑ BUILDING AREA SF 0 LOT# BUILDING TYPE: ❑✓SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS:„ ❑COMMERCIAL ❑ACCESSORY CHANGE OF USE? ❑NO ❑YES, FROM TO SEWER(check all that apply) WATER(check all that apply) ❑✓ SIDE SEWER REPAIR ❑NEW WATER SERVICE INSTALLATION ❑SIDE SEWER ALTERATION 0 COMPLETE SERVICE 0 METER ONLY ❑NEW SIDE SEWER INSTALLATION SERVICE/METER USE: ❑ INSTALL BACKWATER VALVE(outside the building) ❑SFR ❑SIDE SEWER CAP-OFF ❑MULTI-FAMILY-#OF UNITS: ❑SIDE SEWER RECONNECTION ❑COMMERCIAL MULTIPLE DOMESTIC WATER SERVICES REQUEST WATER SERVICE TYPE/SIZE:(provide calcs to support size choice) ❑I AM DECLINING MULTIPLE DOMESTIC WATER SERVICES FOR 0 DOMESTIC: 03/4" 01" 1:-.12" ❑Other MY MULTI-FAMILY DEVELOPMENT UNDER SINGLE OWNERSHIP.. ❑IRRIGATION: 03/4" 01" 02" ❑Other: ❑I AM OPTING TO INSTALL MULTIPLE DOMESTIC WATER ❑FIRE: ❑1" 02" 04" 06" 08" ❑Other: SERVICES FOR MY MULTI-FAMILY DEVELOPMENT UNDER ❑DOMESTIC/FIRE COMBO: ❑1" 02" ❑Other: SINGLE OWNERSHIP. FILL OUT REVERSE SIDE OF THIS FORM. ❑BACKFLOW PREVENTION(Outside): ❑RPBA ❑DCDA ❑DCVA: COM* y OWNER NAME: Shannon Erickson TENANT BUSINESS NAME(If CommerclI0) OWNER MAILING ADDRESS: sTREET2406 8th St CITY Everett STATE WA zip 98201 OWNER PHONE 206-931 8468 OWNER EMAIL: CONTRACTOR NAME:SDOSari Inc., DBA Mr. Rooter PI_umbirtg CONTRACTOR ADDRESS: sTREET2000 South 116th St cr„r SeattleSTATE WA ZIP 98168 CONTRACTOR PHONE:206-651-2917 CONTRACTOR EMAIL:charlenei@orrootersea.com CONTRACTOR LIC (RE€OUfRED MRROOP*022NE CITY OF EVERETT BUSINESS LIC (R O LJI D) 038080 �.,,. 38 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR El OTHER(Please Specify):. CONTACT NAME: ;CONTACT PHONE:206-651-2917 Charlene Lundgren : EMAIL:charlenel@mrrootersea.com EMAIL.Charienel mrrootersea.com AGREEMENT:The undersigned applicant agrees to comply with all provisions of the Everett Municipal Code Title 14 Water and Sewer or such other rules and regulations now existing or which may be established from time to time.The applicant further agrees,as a condition precedent to receiving service that the utilities division shall have the right at any time,without notice,to shut off or turn on the water supply for repairs,construction,and nonpayment of charges or for any other reasonable cause.I em the owner,or I am authorized by the owner of this property to perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only IERMI' swag utt orized Agen SIgnatu,= Date (Revised 10/12/2018)