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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> ETT PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U 1501-039 DATE: 1/7/2015 <br /> JOB ADDRESS 1 108 RUCKER AVE LEGAL DESCR: <br /> DESCRIPTION BACKWATER VALVE APN: 00468622302100 <br /> OWNER BENUSA, KATHERINE TENANT <br /> UNKNOWN WA CONTRACTOR APOLLO PLUMBING LLC <br /> 5407 71st AVE NE <br /> MARYSVILLE WA 98270 <br /> PHONE PHONE 4253871507 <br /> WATER 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 /> SEWER SERVICE t-7 C'J I <br /> F--i a4 <br /> SEWER PERMIT NO. SP-15503 PERMIT TYPE ALTERATION LID NO. rr7 <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 /> I <br /> I <br /> F•- �7 <br /> a.//k <br /> INSPECTED BY: DATE: f m <br /> Notify the Public Works Inspector(425)257-8810 24 hours in advance to schedule an inspection. <br /> ti 14i i I�T'1 <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storii: I W <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 U1501-039 <br /> Applicant Copy <br />