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I *L <br />UTILITIES CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR S7 REET <br />EVERETT, WA 98201 <br />(425) 257-88 10 <br />PERMIT NUMBER U1504.113 <br />I DATE 4/22/2015 <br />105 ADDRESS 3420 OAKES AVE <br />LEG&LDESCR <br />OLSCRINION INSTALL DACICWA'lER VALVE <br />AP'N 00438182002300 <br />OWNER FISH MIKE <br />3420 OAKES AVE <br />EVERETT WA 98201 <br />PHONE <br />TENANT <br />cwmACTo:� <br />PHONL <br />AMERICAN SEPTIC & SIDE SWR LLC <br />2606 LAlki , DR <br />EVERETT WA 98203 <br />4257897296 <br />WATER SERVICE <br />fpq[�"o <br />SRSIfI w!! <br />IEOHinCr <br />`]VC in.pf <br />SnVICr a�ai4 n0 <br />YClipTgM nO <br />p e'a UU1 <br />NOTE. A water backnow prevention and/or consultation is required regarding cross connection cones, I for irrigation services and - <br />services I" or larger. Call'l im hlukham at (425) 257.8833. <br />PLEASE CALL(425) 257-8962 TWO TO TI4REE WEEKS PRIOR -1.0 WANTING WA -TER SERVICL INSTALLED. <br />SEWER PEIttAT NO SI'-15952 PERMI I'IYPL <br />3� <br />RENIAIW rl-, r, a k -. rhp Cityi! r11Vumih1C far structural dcicctt in the fide server n t Inc City ROM' lade per EW 14,08.260 <br />r. <br />0 <br />a <br />INSPECTED DVS - DATr. <br />Notify the Public Wuiks Inspector (42Y 257-8810 24 hours in advance to schedule an inspection. <br />42 <br />It is the applicant's responsibility to insure Adequate protection against sewer back0ow if the structure is located in the combined sanitary/stomraeyjar <br />system ti dr <br />Scacr Ulilily FCC 30.00 <br />TOTAL. FEES S30.00 <br />Permits expire if work is not commenced within 180 dnys or ceases for more than 180 days. <br />PERMIT NUMBER U1504-113 <br />Appncnm Copy <br />I <br />I <br />