2327 CEDAR ST 2020-08-27 - Laserfiche WebLink

WATER / SEWER UTILITY APPLICATION '1:V/ 11111--.'-'".4.2 '7. CITY OF EVERETT PERMIT SERVICES 32nn CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa,gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2327 Cedar Street IF APPLICABLE: ❑ OUTSIDE CITY LIMITS 0 BUILDING AREA SF ❑ LOT# BUILDING TYPE: ❑SFR-DETACHED ®SFR-ATTACHED ODULEX ❑MULTI-FAMILY-#OF UNITS: OCOMMERCIAL ❑INDUSTRIAL 'CHANGE OF USE? 0 NO 0 YES, FROM TO UTILITY APPLICATION INFORMATION SEWER(check all that apply) WATER(check all that apply) 0 SIDE SEWER REPAIR 0 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) 0 SFR ❑SIDE SEWER CAP-OFF 0 MULTI-FAMILY-#OF UNITS: ❑SIDE SEWER RECONNECTION 0 COMMERCIAL MULTIPLE DOMESTIC WATER SERVICES REQUEST WATER SERVICE TYPE/SIZE: (circle desired size) ❑ I AM DECLINING MULTIPLE DOMESTIC WATER SERVICES FOR 0 DOMESTIC: 3/4", 1", 2", OTHER: MY MULTI-FAMILY DEVELOPMENT UNDER SINGLE OWNERSHIP. 0 IRRIGATION: 3/4", 1", 2", OTHER: O I AM OPTING TO INSTALL MULTIPLE DOMESTIC WATER 0 FIRE: 1", 2", 4", 6", 8", OTHER: SERVICES FOR MY MULTI-FAMILY DEVELOPMENT UNDER ❑ DOMESTIC/FIRE COMBO: 1", 2", OTHER: SINGLE OWNERSHIP. FILL OUT REVERSE SIDE OF THIS FORM. CONTACT INFORMATION OWNER NAME: Bruce Habenicht TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2327 Cedar Street c,,,,Everett STATE WA Z,P 98201 OWNER PHONE:425238-9847 OWNER EMAIL: CONTRACTOR NAME: Sposari Inc, Dba Mr. Rooter Plumbing CONTRACTOR ADDRESS: STREET 2000 South 116th cm Seattle STATE WA ZIP 98168 CONTRACTOR PHONE:206-651-2917 CONTRACTOR EMAIL; charlenel@mrrootersea.com CONTRACTOR LIC.#(REQUIRED):MRROOP*022NE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038080 PRIMARY CONTACT: ❑OWNER Cd CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2065-651-2917 'Charlene Lundgren CONTACT EMAIL: charlenel@mrrootersea.com i 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,1 am the owner,or I am authorized by the owner of this property to perform ork for which application is made,and t comply with the State Contractors Law 18.27 RCW and 290.200A WAC. F Official Use Only Git# Jy of Everett U 16?)01) Own authorized Agent .Ignature ate PERMIT(Revised 9/23/2016)