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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WASHINGTON (425)25)-8810 <br />Online Inmettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2301-034 <br />Issum ogre: 1/15/2013 <br />TOLAGEnEO 1110WALLST <br />LEWLGESCR: <br />Giscarnou Emergency Side Sewer Spot Repair <br />AGN: ON37572200101 <br />xEx. WHITNEY WILLIAM&JEANNE <br />TEWNT' <br />10610 EWOT RD <br />armasurce <br />SOUTH WESTPLBG&`MRHTRS LUC <br />SNOHOMISH WA98296 <br />4150 Lind Ave. SW <br />RENTON WA98057 <br />PHONE <br />PHONEz (206)8674556 <br />WATERSFRVICE <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation serviros. <br />Contact Tim Markham at (425) 257d833 or by email at tmarkbam(Demrettwa gm. <br />TO HNEOVU CHN WATER CONNECTION MERE S) 257.88273-4 WEEKS IN ADVAN[E.IF MMR ONLY INSTALL CALL N25( 257-Tura <br />SEWER SERVICE <br />Nyou have a sewer blockage outside your home, OR Puget Sound Energy EGA SIT 24EE&225-5773 to prevent cross bare danger. <br />Ewen PERMIT No SP-190T2 PERmvrvPE SIDE SEWERREPAIRuo NO. <br />REIRxS. PlaWNnh:MeCity ISTWOnsWlefor Un oral MF inthe5ideaweron MeO ROWp WEMC1a.N.260 <br />GLEN Dual Sweep Cleanout <br />NotRy the Public Works Inspector (425) 257 891024 hours In advance to Schedule an Inspettlon. <br />It is the applicant's responsibility t0 insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm server <br />system. <br />FEES <br />SEWER unury FEE <br />$30,00 <br />Percent Cretlit Fed Fee <br />$0.69 <br />TOTALFFE <br />00.0 <br />Permits expire If work Is nor commenced within LED days or ceases for more than Up days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMIT NO: U2301-034 <br />ippllnmtaW <br />