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r!] <br />UTILITIE <br />lum <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMITNUMBERC U1804-043 <br />DATE: <br />JOB ADDRESS 1412 KOSSUTH AVE <br />LEGAL DESCR: <br />DESCRIPTION SIDE SEWER ALTERATION TO SHARE W/ MAIN HOUSE SER I <br />APN: 00394100200300 <br />OWNER E960131EDOINDALECIO <br />TENANT <br />1410 KOSSUTH AVE <br />EVERETT WA <br />CONTRACTOR OWNER <br />PHONE <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE NO. OF UNITS SERVICE ORDER NO. APPLICATION NO <br />REMARKS: <br />NU IE: 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@everetlwa.gov. <br />TO SCHEDULE CITY WATER CONNECTION CALI j425) 257-8827 3-4 WEEKS IN ADVANCE IF METER ONLY INSTALL CALI-(425) 257-8841 <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. SP-17670 PERMIT TYPE NEW CONNECTION LID NO „. <br />REMARKS: Please Note: The City is responsible for structural defects in the side sew6r' e City ROW side per EMC 14.08.260 <br />ALTERATION, SHARE W/ MAIN HOUSE SERVICE <br />INSPECTED BY: - <br />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 sanitaryrrn /sto, s:wer <br />system. <br />SEWER UTILITY FEE 30.00 <br />TOTAL FEES $30.00 �A <br />Dv :r __ <br />tau says or ceases Tor more than 180 days. <br />PERMIT NUMBED U1804-043 - <br />Applicant Copy <br />