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� CITY 4F EVERETT <br /> UTILITIE S <br /> PERMIT SERVICES <br /> E ETl PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMITNUMBER U1412-015 DATE: ]2/�}IZOI�F <br /> JOB ADDRESS 1928 MCDOUGALL AVE LEGn�.DEsca: <br /> DESCRIPTION INSTALL BACKWATER VALVE ^PN� 00437938401900 <br /> OWNER FOSTER ALLEN TEN'wT <br /> 1928 MCDOUGALL AVE CONTRACTOR ���CAN SEPTIC& SIDE SWR LLC <br /> EVERETT WA 98201 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> PHONE 3607390212 PHO� 4257897296 <br /> WATER SERVICE <br /> SE0.VICE SIZE SERVICE IYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPUCATION NO. <br /> kEAdARICS: <br /> NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services and <br /> services 1"or larger. Call Tim Nlarkham at(425)257-8833. <br /> PLEASE CALL(425)257-8862 TWO TO TI�REE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br /> SEWER SERVICE �= �""-��� <br /> . F-= ��' <br /> �� _ _ _�= • <br /> �,i;— _ ' i_� <br /> SEWERPERMITNO. SP-1S344 PERMITTYPE NEW CONNECTION LIDNO. � '� : _- <br /> REMARKS: Please Note:The City is responsible for structural defects in t6e side sewer on the City ROW side per EMC 14.08.260 — _ <br /> _i. <br /> ,-_.�+—;:` <br /> �'" � � �' __ �- <br /> >� � „�r''��",�� � <br /> � 'a �° - = <br /> �%f< ..r�.-, DATE: �m'* <br /> INSPECTED BY: ,�\ ,�v'��.���� � ,.� �:.�,. — <br /> � i� _�...- r�:t��—=�._d . . <br /> Notify the Public Works Inspector(425��57-8810 24 hours in advance to schedule an inspection. �_� �T�-`°_ �=:'°�_` _ <br /> �. �y .�.. ._- .-_ — ' <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm-se�Yer-' <br /> system. �— - <br /> FEES <br /> Sewer Utility Fee 30.00 <br /> TOTAL FEES $30.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NUM$ER U1412-015 <br /> aPY <br /> �_ �o c� �1 i c a-�i � ��{�(r�ss � <br />