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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WRRNINaroN (425)25)-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2301-0OB <br />Issued ogre: 1/9/i0i3 <br />Io4nooRess: 4311 S 4TH AVE <br />LE"LTEXR: <br />ossorkroN. Side Sewer Spot Repair <br />APN: OOMNW702WO <br />"ER Brian Clarke <br />TENFINT. <br />LENTROULDR: <br />SEATOWN ELECRIC HEATING&AIR <br />420078TH ST SW <br />MUKILTEO WA 98275 <br />PHONE <br />PHONEz (2061905-4946 <br />WATERSFRVICE <br />EMARKS <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 gov. <br />TO%HEOVU only WATER CONNECTION CALL HEM) 251R0273-a WEEKS IN ADVANCE. IF MITER ONLY INSTALL CALL (415)251-T254 <br />SEWER SERVICE <br />Nyou have a sewer blockage outside your home, Fall Puget Sound Energy first at 1-889-225-5773 to prevent cross bare danger. <br />EWER PEROT NI SP-19050 PERMIT TYPE SIDE SEWERREPAIRu0 N0. <br />MARKS. PlaWNM:nOCIWISMWOnsWlefor Un oral Mr inthe5ide Nwer On MBO ROWp WEMC14.0R.260 <br />Hot repair on private property <br />Notify the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspection. <br />It is the applicant's responsibility t0 insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm sewer <br />system. <br />FEES <br />SEWER unury FEE <br />$30.00 <br />Percent Licht red Fee <br />$0.69 <br />TOTALFEE <br />00.0 <br />Permits expire If work Is not commenced within 180 days or ceases for more than 180 days. <br />_APFufANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2301-008 <br />appllnmcow <br />