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EVERETT <br />WASHINGTON <br />UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U2203-002 <br />DATE: <br />JOB ADDRESS 5021 CREST LN <br />LEGAL DESCR. <br />DESCRIPTION Emergency Side Sewer Spot Repair <br />APN: 29043600402500 <br />OWNER MAHER PATRICK F <br />TENANT <br />5021 CREST LANE <br />EVERETT <br />EVERETT WA 98203 <br />CONTRACTOR SOUTH WEST PLBG & WTRHTRS LLC <br />2401 SW ALASKA ST <br />SEATTLE WA 98106 <br />PITONE <br />PHONE 2069321777 <br />WATER SERVICE <br />SERVICE SILE <br />SERVICETyPE <br />tRONEAOE <br />NO.MURns <br />SERVICE ORDERNO. <br />MWCATIDNNO. <br />RVAUXS: <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 tmorkitain@eveream.gov. <br />TO SCHEDULE CITY WATER CONNECTION CALL (425) 257-8827 3-4 WEEKS IN ADVANCE, IF 81ETER ONLY INSTALL CALL (425) 257-7264 <br />SEWER SERVICE <br />III you have a sewer blockage outside your hom4 call Puget Sound Energy first at 1-888-225-5773 to prevent cross bore danger, <br />I SEtvERPERMITNO, SP-18773 PERMITTYPE SIDE SEWER- REPAIR I LID NO, <br />REMARKS: Pease Notel The City is responsible for structural defects in the side sewer on the City ROW side per ENIC 14.08,260 <br />SIDE SEWER REPAIR <br />INSPECTED BY: I ' I DATE, I <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 sanitarylstorm sewer <br />system. <br />FEES <br />SEWER UTILITY FEE 30,00 <br />TOTALFEES $30.00 <br />Pennits expire if work is not Commenced Within 190 days or ceases for mnre ihnnIRO A — <br />PERMIT NUMBER U2203.002 <br />Applicant Copy <br />0 <br />