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� CITY OF EVERETT <br /> UTILITIES <br /> PERMIT SERVICES <br /> PERMIT a2oo�Eo�R s,�EET <br /> rvekti-r.wn ��szoi <br /> . � � . . . . (42�257-881U <br /> PF.RMITNUMPER � U1412-016 � � � � °^rE ' 'Iy42014 � <br /> �onnnoaess 2121 WETMORF.AVG �en�orxH� � <br /> o�scxmnov INSTALL HACKWATF.R VALVE N"' Wd391436U1100 <br /> O0.'RF.R SMI'fl!TOD A R ANN L - � , . ieN�.,T - � <br /> 2121 WL•TM110RG � - � corm�nc�oa qMERICAN SEPTIC R SIDE SWR LLC . <br /> CVGFtEfT W� °8'-�� 2606LARLINDR <br /> � EVHRFTT WA 98203 <br /> PNON1: . 49 � ruone A257897296 . . <br /> _S_596068 <br /> � � WATERSF.R�7C6 <br /> Sn�-n ca . <br /> un�iann: I[31�'I.�fJ.. • 19RL%1! � LLlIN�Ov�[�.un uwr.rn..�a <br /> w..rrs <br /> NOit: A aatcr bxAtlow prcacntion nnd�or cons�ilmtion is mquircd rcgarding cross conntt�ion cnntrol for�irtigalion scrvica and � , � <br /> � - services I"or I:ugec Cull'!im Mukhmn el(42�257-B83J:� � <br /> PI.HnSE CnLL(a25)257-8862'fW0'1'0'I�tREE WIiF.KS PRIOR"1�0 WAMING WA'I'F.R SERVICF.MSTALLCD. �. <br /> r;�_ <br /> � � � SEWF.R AERVICF. '� <br /> - A <br /> . ..y^m r_ cr. �. . . <br /> IJI)NO - +� i•=•'� ' <br /> s�wckven.urtnu SP-IS3dt � eexnurTme AL'fEltAl70N � . - - — <br /> r.: <br /> ItlnUlU:S Plnit Nolt:TAe Gry'If�aPoroltrlt for Umclnrd dtfab in IAt aidt en�eron Ihc Ci7 RON'eldr per fNC Id08260 . . � ' ..� .. <br /> . �i ,�rrii': <br /> ��F� <br /> �t. <br /> Ea : <br /> o�n (2=� �<.� �- <br /> rr+v�i��conr - -. �_��-v � . <br /> - � _ : �._: r��� �_ <br /> Nolity Wc PuM1lic\Vorks In�pecmr(4Z51=57-BA 10 2A houn in adv:ncc lo uhcdulc an inspcction. . `_;,_�`�;� '` o .: ' <br /> .,�.ns. <br /> It iz ihc:ipplicmiYs rtsponsibiliq�lu iusurc nJeq�r.ar prolecliun ngninst s.���'er 6ackflow il ihe sWcwrC is Ianinl in Ihe combined snnimp'/stonnspwet-• <br /> syslem <br /> FF:ES <br /> Sc..<r lltihry I tt 30(10 � . . � <br /> �fOTALFEES SJ0.00 � ' <br /> Pcnnils cxpirc if work is not conuncnccd wilhin I80 Jays or aaca(ur marc than I80 Jays. , . <br /> PERMIT NUMBER UIII2-0I6 <br /> . .. . . . . . � � � nwu��cwr � <br /> I <br />