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@4L <br />UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVG2ETT. W'A 98201 <br />025) 257 8810 <br />PERMITNUMBER U1503-011 <br />n^3r 30/2015 <br />ICU ACDRCSS 3520 OAKES AVE <br />FfGAF L`LI;CR <br />DrsclurnON INSTALL BACKWATER VALVE <br />APA 00439195502300 <br />MWER ALCA.LA WENDY S JOHNSON CHRIS <br />ITNANI <br />ONITRACIOR <br />AMERICAN SEPTIC & SIDE SWR LLC <br />3520OAKES <br />EVERETT WA 98201 <br />2606 LARLIN DR <br />r:VERETT WA 98203 <br />PRONG 4254183477 <br />vN:r,F. <br />1251897296 <br />WATER SF.RVICF <br />stnnresue sunm ore r�e+r,a, .. o. .. r•�-r�cnu �r ...� .n.,. �. <br />..r„rxs <br />NOTE: A water backllow prescntion andfor consultation is required regarding cross connection convm mr mtgauun <br />services I" or larger. Call Tun Markham at (425) 257-8833. <br />I'LEASE CALL (425) 257-8862TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br />scwT.R rEltwn NO SP-1571q Ptn%uI iIFf. Al, TI{WCI ION LID NO <br />a <br />RLMAR S 1'lune Note 3la City Is respami6lr fur orurevel driten In the ,Idr wocr on she City ROW,Idr prr ENIC N.0H:60 fii ✓i <br />r2 <br />!i tlr % inn <br />INSPEMDBY rj '/•�L. ', 1, 1 r� <br />, t 8 C•r <br />Notify the Public Works Inspector ('LS) 257.8810 24 hours in advance to schedule an inspection. <br />11 Is the applicunt's responsibility to iosurc adequate protection against sewer backtlow• if the structure Is located in the combine) s:miU Y1stor %14Q&rrR <br />System. r <br />$oscr tllibly F¢ 30.00 <br />T01 AL FEES $30.00 <br />Pcnnits expire irwork is not commenced within 180 days or ceases for more than I80 days. <br />PERMIT NUMBER U1503-011 <br />ArPlIU ra COPY <br />H <br />