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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />wASNINnTox (425)25748810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2301-006 <br />Issued ogre: 1/8/i0i3 <br />IODADDREa:. 1631 SILVER TAKE RD <br />L2wLOEscR: <br />DESCRIPTION spotrepair <br />APN: 00494200401300 <br />MINER . Ruyen Dao <br />TENANT. <br />1631 Silver Lake Road <br />CONTRALlor JAFCO <br />COMPANY LUC <br />Everett We 98208 <br />14058 Aurora Ave N <br />SFATTLE WA 98133 <br />PHOI 12061351-0285 <br />PHOI (206)552-3560 <br />WATERSERVICE <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@everettwa gw. <br />TO SCNEOVU CITY WATER CONNECTION CALL la25i 25180273-4 WEEKS IN ADVANCE, IF METER ONLY INSTALL OE.LPuke 251-T254 <br />SEWER SERVICE <br />If you have a sewer blockage autslde your home, tall Puget Sound Energy Fort at 2-888-225-5773 to prevent was bare danger. <br />FEWER PONT Na SP-19048 PERaarvPE SIDESEWER-REPAIR LID No. <br />KS. Plaa NM:neCiWismq nMlebr"l Aral MF inthe5ide Nwer On MeO ROWp WEMC24.0R.260 <br />l <br />MARean out M soil pipe <br />Notify the Public Works Inspector (425) 257 891024 hours In advance W 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 />Within. <br />FEES <br />SEWER unury FEE <br />$30.00 <br />Pervert Licht Card Fee <br />$0.69 <br />00.0 <br />TOTALFEE <br />Permits expire If work Is not commenced within 181) days or ceases for more than DID days. <br />_APPLICANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2301-006 <br />appli"I <br />