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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />W LININOTON (425)25)-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2301-019 <br />Issued ogre: 1/20/2013 <br />JOa P00REs. 2624 ROCKEFELLER AVE <br />NwLOEscR: <br />DESCRIPTION spot repair on side sewer on private property <br />API: 00562461102100 <br />OWNER FIRST CONGREGATIONAL CHURCH EVERETT <br />TERANT. <br />2624 ROCKEFELLER AVE <br />summusmir <br />PRICOR TECHNOLOGIES LUC <br />EVERETT WA 98201-2925 <br />2825 S 154th St <br />SeaeaC WA98188 <br />PHONE <br />PHOI 12061242-0633 <br />WATERSFRVICE <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for Irrigation services. <br />Contact Tim Markham at (425) 257d833 or by email at tmarkbam@everettwa gw. <br />W scHEOOLE CNN WATER CONNECTION CALL P251257.88273-a WEEKS IN ADVANCE. IF MI ONLY INSTALL 0ILL(42SI 251-T254 <br />SEWER SERVICE <br />If you have a sewer blockage outside Maur home, tall Puget Sound Energy PIPES 24EEgF225-S773 to prevent moss bare danger. <br />Ewen PEROT NO, SP-19000 PERaarvPE SIOESEWER-REPAIR up NO. <br />EaIARxS. Plaa NM:neCiWismq nMlebr"l Aral MF intheside Nwer On MBO ROWp WEMC14.08.260 <br />Nottly 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 />SEWER unury FEE <br />$30.00 <br />Perreent Cretlit Card Fre <br />$0.69 <br />00.0 <br />TOTALFEE <br />Parretti expire If work Is not commenced within 181) days or ceases for more than 180 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2301-019 <br />sppllnmci <br />