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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1411-019 <br /> DATE: 11/10/2014 <br /> JOB ADDRESS 1711 RAINIER AVE LEGAL DESCR: <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00438835400600 <br /> OWNER MEYERS FRANK TENANT <br /> 1711 RAINIER AVE CONTRACTOR AA PLUMBING LLC <br /> EVERETT WA 98201 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PHONE PHONE 4254850123 <br /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE I FRONTAGE I NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> REMARKS: <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 Markham at(425)257-8833. <br /> PLEASE CALL(425)257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br /> ISEWER SERVICE 7,J I <br /> PERMIT TYPE ALTERATION LID NO. <br /> SEWER PERMIT NO. SP 15293 _:. F-- <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 _- <br /> , ,v:,, <br /> INSPECTED BY: DATE: //— " <br /> 1 <br /> 1 , ii.cr. ,''1 <br /> Notify the Public Works Inspector(42S 257-8810 24 hours in advance to schedule an inspection. <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/stor se Veit:;: <br /> system. <br /> IFEES I <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 /> I PERMIT NUMBER U1411-019 I <br /> Applicant Copy <br />