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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT PERMIT SERVICES <br />32MUMRSTREU EVERETT,WA98201 <br />WASHINGTON (425) 257-Mto <br />Online Inspection Reouest onfineoermits.everettwo.00v, <br />PERMIT NUMBER: U2210-033 <br />ADDRESSRe . 1219415TST <br />LEGAL EAGER <br />V/ <br />Cox: Side Sewer Spot Repair wRh clean out Install <br />a: 00596200101000 <br />M: PARENTIANETTE <br />7ENANN <br />121941SIr ST <br />CONTILACITIR <br />ROTO ROOTER SERVICES CO <br />EVERETT WA 98201 <br />S211TH AVES <br />SEATTLE WA98108 <br />PHONE <br />PRi <br />12531405-]]6S <br />WATERSERVICE <br />NOTE: A water bacMow prevention and/or consultation is required regarding cross connection Control for Imgation services. <br />Contact Tim Markham at(425)252-M33 or by email at tmarkham@p rettwagov. <br />TO SOIEWLE CITY WATER CONNECTION CALL N251257418V 34 WEER IN AOVMa. IF METER ONLY INUT CALL (an)Z5]V3W <br />SEWER SERVICE <br />N FORD have a sewer blockage outside year home, Call Puget Sound Enei;Mt at 3-11B8325-5])3 to prevent Cross bare danger. <br />ai o. SP-189i2 a SIOE5EWER-REPAIR I LID NO, <br />Rp Mine Note: TM CRyb responYbleM nrunural de i In the Ode sewer on the OFF ROW side per EM Ee.W3a0 <br />Spot repair on the existing side sewer, install n" PVC dean out <br />Notify the Public Works Inspector (425) 257d81024 hours in advance to schedule an inspection. <br />It Is the applicant's responsibility to Insure adequate protection against sewer bacMow If the structure Is located In the combined sanitary/storm sewer <br />system. <br />FEES <br />SEWER UIILRY FEE $30W <br />TOFALfEE $3AW <br />Permum erpue It Work is not Commences within LAW (lays or Ceases for more Nan fill days. <br />_APPLICANT _TREASURER _ADDRESS FIRT <br />PERMITNO: U2210-033 <br />MpYmMCppY <br />