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UTILITIES CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200CEDAR STREI:I' <br />"1 EVBRE-1.1, WA 98201 <br />(425) 257.8810 <br />P U10,11T NUNIEL R U1511-017 <br />1 DATE 11/10/2015 <br />JOB ADDRESS 2709 22ND ST <br />LEDAE DESCR: MINNESOTA ADD BLK 447 D-01 - E 60F <br />DESCRn4IO`I INSTALL BACKWATER VALVE <br />APN 00516444701301 <br />OWNER SOWA KEVIN <br />2709 22ND ST <br />WA 98201-2526 <br />PHONE <br />TENANT <br />mvrnACrOR <br />PHONI, <br />WERICANEVI?Rli'IT <br />26U6 LARM SEPTIC 8 SIDE SW'R LLC <br />2606 LAR1„N DR <br />1:VER)"I-1• WA 98203 <br />4257897296 <br />WA'I'Lli SLRVICR. <br />SGY.CP.SIr1 <br />rgY.GTTe <br />ndrrn Q. <br />We•L'rt] <br />1[ASSRd1DEeW <br />AM-Ca11M�!U <br />gWlOra <br />NOTE: A watcl backRow prevention and/or eorsulcntion is required regarding cross connection control for irrigation services and <br />scniccs I"or larger Call Tim Markham at (425) 257.8833, <br />PI.LASI: CALL (425) 257-SS62 TWO .1-O'ITiRllli N'L'L'KS PRIOR TO WANTINO WATER SERVICE INSTALLED. <br />SEWEK PHmtrl NO. 311.16420 phaxul rvpr: A1,1ERATION <br />I LID NO <br />KExIARK5 View Note: The City Is responsible for structural defects In the side user on the City ROPY side per ENIC <br />14.0S.260 <br />0 <br />r <br />n` Y <br />a <br />INSPEMD OV e <br />DATI, <br />5 <br />Notify the Public Works Inspector (4jo 257.8810 24 hours in udvanec to schedule an inspection. <br />It ss the applicant's n:sponsibil ily to Insure adequate protection against sever buckhow if the s(mcture Is located In the'ebli�ir�fi.�'n.�taly/storws <br />system. <br />—c r <br />Si+ <br />FF.P;S <br />Sewer Ctilny FCC ADO <br />TOTAL FEES S30.00 <br />Permits expire if work is not commenced %t ithln 180 days or ceases for more than 30 days <br />PERMIT NUMBER U1511-017 <br />Appll4,r.l CVJ. <br />1 <br />