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� ' CITY OF �VERETT <br /> UTILITIES : <br /> P�RMIT SERVICES <br /> E� PERMIT. � . � 720DCC•DARSTkEET� � <br /> � � EVtI2E'I"I'.WA 96201 � . <br /> . (425)257•8810 � <br /> PGR�117'NUMBGR UI510-033 � �^�?�� 10/70/2015� . <br /> inn,�ouuess �1919 RUCI<ER AVE . �een�oascn� CVERG'l l'DIV D PLAT OF BLK 377 D-0� - <br /> � oesammon HACKR'ATGR VALVE �^�". 00437017701000 � ' <br /> OwNFR ARNIiOI.DGRIC TCNaNf <br /> 1919 RUCICL•R AVE N I . _ car+mncron AMGRlCAN SEP'I'IC& SIDE SWR LLC <br /> �VLRL•TT �U� 98Z�� � 2606 LARLIN�DR <br /> EVERETT WA 99203 <br /> VI IOY! <br /> - � mwnF J257897296 <br /> � � �NATF.R SERVICG � � <br /> suiv.av.re s�en¢i.rc r�o+r.m . wo�'u�m unv�.voaoww .ruc . a <br /> nuu.ct � � ' ' . <br /> NOl"C: A�vu�er bockflo�v prevention and/or consullalion is requind rcgnrding crass mnneelion cnntrol(or inigmion serviecs and <br /> scrviccs I"or largcc Call Tim Mnrkhum ui(425)257-SR73. � . � . <br /> - PLL'ASIi CALL(-025j 257-X86Z 1'WO TO THRFE WELFS PRIOR"i0 W��NI'ING R'A"fCft SGRVICE INS"fALL6D. <br /> � . .. - . � � . r�i r+� <br /> SE\VI'R SFIiViff <br /> r]r'r=3 <br /> .—� — ' <br /> sr.w[nr�xn+n�no SP•IG193 rnu.urirrr: � ALTLR�11lON �.�°N� - ' � C� <br /> REM.VtKS YlenseNole:'fheCitylSrapansiDl.forstrucNruldefcclvinlhe�iJeecvernntl�eCiiyROW.ideprrEMCIJ.ON.:LO �i f;.iu <br /> . " i r_i <br /> r_ _ <br /> ra <br /> 7 :� �]t <br /> ., <br /> . o�,� io� zr��:—� �,-, <br /> u:srr.cn;uur� . _.t• :_' _ . <br /> Nuiify ihc Public Works Inspecloi (4=5j 51-N810 2a hours in nArnncc�n tcl�cd�Jc m�inspcctinn. ",;)�_ ,_ ��;" <br /> It is thc npplicnnts rcsaomibility lo insurc adcyua�c p�o�cciiou aCninst sewcr ouckllow i(Uic stmcturc is loea�cd in�hc eombined soniiaq�ls�o;m'ieHtP <br /> tysicm. <br /> �CES <br /> Sc�vcr Uliliry Fcc � JODU <br /> 9�OTAL FECS � SJ0.00 � <br /> I'cniiits expir.i(work is not commcnccJ within I80 days ur ccascs for more ihaa 18U days. � � <br /> ' � � . . - � PERMIT NUI11[iER ' ,U1510•033 ' � <br /> � � _ ' - ' . � novi����nc��„� <br /> � <br />