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UTILITIES <br />PERMIT <br />PERMITNUMBER UISOI-024 <br />JOB ADDRESS 1910 MCDOUGALL AVE <br />DESCRIPTION BP.CKWATER VALVE <br />OWNER QUALLVICTORIA <br />2411 BP.KF.R AVE <br />EVERETT WA 98201 <br />PIIDNL <br />e Ws <br />CITY OF EVERETT <br />DATE: <br />LFGAI. DESCR. <br />APN. <br />TENANT <br />SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />1/6/2015 <br />00437938402700 <br />CONTRACTOR 2606 LA LI SEPTIC Xc SIDE SWR LLC <br />2606 LARLIN DR <br />1.91 EVERETT WA 98203 di <br />PRONE <br />NOTE: A water beCkllow prevention and/or consulintion is required regarding cross connection control for irrigation services and <br />services I" or larger. Call Tim Markham at (425) 257.8833. <br />PLEASE CALL (425) 257.8862 TWO TO THREE WEEKS PRIOR 3'0 WANTING WATER SERVICE INSTALLED. <br />SEWER PEtuaIT NO SP-15493 PERMIT TYPE ALTERATION I LID NO <br />REMARKS. Plense Note:1 he City Is responsible for structural detect%it, the side anrer on the Cut ROW side per EMC 14.C8360 - N M� <br />e <br />y <br />r o <br />2 <br />INSPECTED BY. -- <br />" O o <br />Notify the Public Works Inspect (425) 257-8810 24 limes in advance to schedule on inspection. o o DAIF <br />,} .�. <br />C'J I_71-- <br />It is the applicant's responsibility to insure adequate Protection against sewer buckRow if the slmcture is located in the combined sanimryhroQ"! era <br />system. <br />Sct%vt Utility FCC 30.U0 <br />'TOTAL FEES $30.00 <br />Permits expire if work is not commenced within 180 days or CCBScs for more than I RO days. <br />PI:RMITNIIMRER U15I11-024 <br />APP? C Py <br />