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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 />PF.RNUTNUMRER U1502-022 <br />DATE_ <br />/OU AUDRESS 1816,MCDOUGALL AVE <br />LEGAL DESCR: <br />DESCRIPTION BACKWATER VALVE <br />%PN 00438236302500 <br />OWNER SIMPSON LUCILLE <br />1101 AVE D 1YE303 <br />SNOIIOi141SII WA 98290 <br />PHONE <br />TENANT <br />cINTRkcrolt AMERICAN SEPTIC & SIDE S%VR LLC <br />2606LARLINDR <br />EVERETT WA 98203 <br />4257897296 <br />WATER SFRVICF. <br />uwu.s <br />NOTE: A water back0ow prevention and/or consultation is required tegnrding cross connection control for irrigation services and <br />services V or larger. Call Tim Lvlarkham at (425) 257.8833. <br />PLEASE CALL. (425) 257.8862 TWO TO TI IREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br />a <br />SEWER PER1,111 NU. SP-15626 PERMITTYPE 11.1nxO e; ;:; &; -.. <br />V <br />REMARKS. Please Note: ,The City is responsible for vruetural defects in thCi e side sea er ms the ty ROW side per t:a1C 14.08.260 m C—*! <br />INSrpcniD uv <br />DATR Z <br />Notify the Public Works lnspectn(�425) 257.881D 24 hmus in Rdvanee to schedule an inspection. <br />It is the applicant's responsibility to insure adequate protection against sewn back0ow if the structure is located in the combined sanitary/sturm's�-F,ur <br />systcm. r� "' <br />FFF-S <br />Scwcr Utility FCC 30.00 <br />TOTAL FEES $30.00 <br />Permits expire if work is not commenced within 180 days or ecases for more than 180 days. <br />'PERMIT NUMBER 111502-022 <br />Arplomr Copy <br />