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i <br /> UTILITIEj <br /> CITY OF EVERETT <br /> n�� <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1410-032 _ <br /> DATE: 10/23/2014 <br /> JOB ADDRESS 817 GRAND AVE LEGAL DESCR: <br /> DESCRIPTION BACKWATER VALVE APN: 29051800100900 <br /> OWNER CROSS DAVID B ' TENANT <br /> 817 CONTRACTOR AMERICAN SEPTIC&SIDE SWR LLC <br /> EVERETT WA 98201 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> PHONE I, PHONE 4257897296 <br /> r <br /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE I FRONTAGE I NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> REMARKS: <br /> NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services and <br /> services 1"or larger. Call Tim Markham at(425)257-8833. <br /> PLEASE CALL(425)257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br /> I SEWER SERVICE R' "r' <br /> I•=-, <br /> 3_- = o <br /> SEWER PERMIT NO. SP-15269 PERMIT TYPE ALTERATION LID N i 'T" LH ill..... <br /> 1 <br /> t-•a <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 /> C 7 1 <br /> 1 f•J <br /> 1—`lY1 <br /> ' `��� DATE a r -.INSPECTED BY: ..� w I�.:" -�,( A <br /> Notify the Public Works Inspector� 5)257 8810 24 hours in advance Schedule an inspection. ?_` =' _ <br /> 1~�3 <br /> It is the applicant's responsibility to insure adequate protection against s r backflow if the structure is located in the combined sanitary/stormse S?er=' <br /> �_a <br /> system. <br /> 1� -1 <br /> FEES I <br /> Sewer Utility Fee 30.00 <br /> 1 <br /> TOTAL FEES $30.00 <br /> Permits expire if work is not commenced within 180 days or ceases for mbHre than 180 days. <br /> it PERMIT NUMBER U1410-032 <br /> Applicant Copy <br /> i <br />