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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />wASNINNTNN (425)257H8810 <br />Online InsaettlOn Request onllnecermiss.everettwo.0ov <br />IDERMITNUMBER: U2211-022 <br />DMe <br />IORPDDREs. 201ALVERSON BLVD <br />NwLDEsce: <br />DES(AIvnox water service repair <br />APn: 00507800000100 <br />OWNER . PARKER DAVID FOREST& 3000BOC CYNTHIAB <br />THENT. <br />201 ALVERSON BLVD <br />CONTROLLOt <br />HOLMSTADS PLUMBING INC <br />EVERETT WA 98201-1003 <br />PO BOX 5635 <br />EVERETT WA 98206 <br />PHONE <br />PHONEz (360)202-1428 <br />WATERSERVICE <br />gran <br />gr,«rr.. <br />�.nnwr <br />m m <br />0 <br />50-14822 <br />APE-19850 <br />HMARxs. <br />WATER SERVICE LINE BEHIND THE METER <br />NOTE: A water backflow prevention and/or consultation Is required regarding cross connection control for irrigation services. <br />Correct Tim Markham at (425) 257d833 or by email at tmarkbam(Deverettwa gw. <br />TO HNEOVU CNN WATER CONNECTION ME WEEKS IN ADVANCE, IF METER ONLY INSTALL CALL (425)251-CRA <br />SEWER SERVICE <br />Nyou have a sewer blockage au side your home, call Puget Sound Energy first M 1-SEBB-225-5773 to prevent cos bare danger. <br />XMRPEBMnrq PERMrrvx[ WATERLINE BEHIND METER LID NO. <br />IEMARFS. PIBaH Nq0: no Dryis regNn6p18brY0nYlYr011410tk in th,,id,wweron Nw CILLy ROW 440N08FMC W.08.260 <br />Notify the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspection. <br />It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm sewer <br />system. <br />FEES <br />PLUMBING FEES $3500 <br />TOTALFEE $35.00 <br />Permits expire If work Is not commenced within LED days or ceases for more than LED days. <br />_APFUEANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2211-022 <br />Gmi"momy <br />