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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />w15XINQTON (425)251-8810 <br />Online InsoettlOn Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2303-011 <br />Issued ogre: 3/]/i0i3 <br />IgenooREss: 212174TH ST <br />LEGALOEECR: <br />DEEOoenox Side Sewer Spot Repair <br />APN: 00545204103100 <br />DINNER RRAMALL PHILLIP CHARLES/SHELTON LAUREN <br />TENENT. <br />212174TH ST SE <br />TMALTo^ <br />SEATOWN ELECRIC HEATING&AIR <br />EVERETT WA 98203 <br />420078TH ST SW <br />MUKILTEO WA 98275 <br />PHONE <br />PHONEz (2061905-4946 <br />WATERSERVICE <br />EMARKS <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br />Contact Tim Markham at (425) 257HRI or by email at tmarkbam@evereltwa gov. <br />TO%HEROLE CHI WATER CONNECTION ME HILLS) 257.88273-a WEEKS IN ADVANCE, IF METER ONLY INSTALL CAUL (425)251i&1 <br />SEWER SERWCE <br />If you have a sewer blockage outside your home, call Puget Sound Energy first rt 2- &225-5773 to prevent cross bare danger. <br />EWEVERMn NO. SP-19116 PERMIT TYPE SIDE SEWERREPAIRLID NO. <br />iARKM. PIBW Nate: The CitylS rtgNnip18br51nYlYr01M1eRs in the5ide Wwer On MeO ROWp WEMC24.08.260 <br />de Sewer Spot Repair on private property <br />RALEY 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 />Within. <br />FEES <br />SEWER unury FEE <br />$30.00 <br />Percent Cretlit Card Fee <br />$0.69 <br />TOTALFFE <br />00.0 <br />Permits expire If work Is not commenced within LED days or ceases for more than LID days. <br />_APPUCEI _TREASURER _ADDRESS FILE <br />PERMITNO: U2303-011 <br />appllnm CaW <br />