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f <br /> ' UTILITIES <br /> CITY OF EVERETT <br /> 7 PERMIT SERVICES <br /> PEAT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1501-098 DATES 1/20/2015 <br /> JOB ADDRESS 1617 FULTON ST LEGAL DESCR: <br /> DESCRIPTION BACKWATER VALVE APN: 00438933000900 <br /> OWNER GAUB CYNTHIA : TENANT <br /> 1617 FULTON ST CONTRACTOR A+SEWER TECHNOLOGIES LLC <br /> EVERETT WA 98201 900 MERIDIAN E STE 19-193 <br /> MILTON WA 98354 <br /> PHONE PHONE 8882167656 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE 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 > ..1 <br /> t ram— Fq -„- <br /> SEWER PERMIT NO. SP`-'15535 - PERMIT TYPE LID NO. ' <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 /> 4 <br /> ra <br /> ` ' ,,. <br /> —1 <br /> INSPECTED BY: DATE: j <br /> v^ .- Try - <br /> Notify the Public Works Inspector(425)257-8810 24 hours in advance to schedule an inspection.' ca a 1--• <br /> '8 ' <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/stor1Crs era <br /> system. ,.:... <br /> FEES <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 /> PERMIT NUMBER U1501-098 <br /> Applicant Copy <br />