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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200CEDAR STREET <br />EVERP.TT, 1VA 98201 <br />(425) 257-8810 <br />PERMITNUMBr( U1501-096 <br />DATE'.' 1/16/2015 . <br />JOB AnDMS 1914 MCDOUGALL AVE <br />t-EGALDISCR <br />DESCRIMION INSTALL BACKWATER VALVE <br />AWN. 0043793.8402600 <br />OWNER CLARK TIIERFSA <br />1914 MCDOUGALL <br />EVERETT WA 98201 <br />PHONE 4252520207 <br />U.NANT <br />CONTRACTOR <br />POIINE - <br />AMERICAN SEPTIC & SIDE S WR LLC <br />2606 LARLIN DR <br />FVERETT WA 98203 <br />4257897296 <br />WATER SERVICE <br />senc�es¢c ssxw2 t,rt rwvrAoc �:�o�� ors !nnaoarexr:o Ae:uceruv uo <br />II!H.MAS <br />NOTE: A water backilow 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 10 WAN ING WATER SERVICE INSI'ALLFD. <br />SEWER PERMIT NO SP-15533 PERMIT r M' AI.fERAT'ION - UDNO. co <br />r <br />REMARKSPleesc Note: The City is responsible for structural derects In the side sorer on the City ROH' side per 8MC 14.08.260 <br />t� o. <br />Notify the Public Works )nspectm(425) 257-8810 24 hours in advance to schedule an inspection. 08 <br />c .n <br />.It is the applicant's responsibility to insure adequate protection ngninst sewer back0ow if the structure is located in the combined sanitary/sioQ44.Ew <br />System <br />Sesser tlhllty Fee 30.00 ' <br />1,01'A1. FEES 330.00 <br />Permits expite ifwolk is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT'NUM1iBER U1501-096 <br />Appk.1 C.Py' <br />