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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETI'• WA 98201 <br />142S1257.8810 <br />PERMITNU1MBER U1509-024 <br />DATE. 9/9R015 <br />JOB ADDRESS 3431 HOYT AVE <br />LEGAL UESCR: <br />DESCRIPTION INSTALL BACKWATER VALVE <br />APN. 00436982301401 <br />OWNER IIABE LINDSEY <br />TENANT <br />CONTRACTOR <br />AMERICAN SEPTIC & SIDE SWR LLC <br />3431 HOYT AVE <br />EVERETT WA 98203 <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />PHONE 4252325662 <br />PHONE <br />4257897296 <br />\VATER SERN WE <br />5QVICC S112 {E11Y1R TYR, i➢UM�UC MJ OI JAI;` iRVIQOUFI. W. /.N1JC�TW MU <br />MW" <br />NOTE: A water backilow prevention and'or consultation is required rcParding cross connection conmoi for tmgmmn Su.I�u a•L. <br />services V or larger. Call Tim Markham at (425) 25M833. <br />PLEASE CALL (425) 257.3f 'TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br />SEWER PERMIT NO, SP-i6326 PERMIT TYPE ALTERATION LID NO. <br />HF.MARICS: Please Note: The City is responsible Tur structural defect In the aid: SQyer on the City ROW side per EMC 14.a&16U N 'ZI <br />INSPECTED BY: I DATE' y�-�O-Lj �• <br />Notify the Public Works Inspector 425) 257.8810 24 hours in advance to schedule an inspection. • p g �-, ; ' <br />It is the applicant's responsibility to insure adequate protection againm sewer backnow if the structure is located is the combined sanitary/storm Scila•7 <br />System, <br />Sewer Utility Fee 30.00, .. <br />TOTAL FEES 530.00 <br />Permits expire if work is not commenced within 180 days or ceases for more than 1 au (Jays. <br />i-RI-Nin NUMBER U1509.024 <br />. - Apph.,N Copy <br />