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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425)257-8810 <br />PERMITNUMBER UISOI-049 <br />unit 1/9/2015 <br />JOB ADDRESS 2707GRAND AVE <br />LEGAL DESCR <br />DESCRIPTION INSTALL BACKWATER VALVE <br />AP" 00439162200400 <br />OWN" STONE VINCE <br />TLNWT <br />CONTRACTOR <br />AMERICAN SEPTIC & SIDE SWR LLC <br />2707 GRAND AVE <br />EVERETT WA 98201 <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />YIION[ 8o57019878 <br />PHONE <br />4257897296 <br />WATER SERVICE <br />ylivc L!ur <br />lr��:s art <br />rAOHr�eC <br />r4 (M UATR <br />sO1v�QgpArO <br />wN11G.,nc. u_ <br />u"we <br />NOTE: A seater backnow prevention and/or consultation is required regarding cross connection control for Imgatson services ana <br />services I" or larger. Call Tim Markham at (425) 257.8833, <br />PLEASE CALL (425) 257.8962 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br />SEWER PEMIR NO SP-15513 PCRWTTVPE DEV FEES LID NO. <br />r <br />REMARKS Plisse Note -I Ile City Is responsible for srranural ddecls in Ibr side c,,cr oo isle Cary ROW side per F.aIC 14.0&260 m o <br />r <br />r� Q <br />MSPECTFJ)nY (✓� I DATE <br />Notify the Public Works Inspector ( 5) 257-8810 24 hours in advutce to schedule sit inspection =, p 0p �O C7 o *;p o <br />rs�L, <br />it is the applicant's responsibility to insure adequate protection against sewer backn_ow if the rucnee is located in die combined sanitarytslorm''Sgep <br />system. <br />Sewcr Utility Fee 30.00 <br />TOTALFEES $30.00 <br />Pemsits expire if work is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT NUMBF,R UISOI-049 <br />• Afyliunl Copy <br />