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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WASHINGTON (425)25)-8810 <br />Online Inspection Request onllneoermlts.everimmm oov <br />IFERMITNUMBER: U2303-041 <br />Issued ogre: 3/2T/2013 <br />IORPDDRESS 115MADISONST <br />IewLDEscR: <br />DESCRIPTION Ememme repair of side sewer. All work on private property <br />APN: 003714WW0300 <br />PER. Melani Galvan <br />TEWNT. <br />115 MADISON <br />DENTRALUES <br />ROTO ROOTER SERVICES CO <br />EVERETT WA 98203 <br />6321 TTH AVES <br />SEATTLE WA 98108 <br />PHONE <br />PHONEz (253)405-]765 <br />WATERSFRVICE <br />Hall <br />NOTE: A water backflow prevention and/or consultation is required regarding moss connection control for irrigation services. <br />Contact Tim Markham at (425) 257dg33 or by email at tmarkbam@everettwa gw. <br />TO Hiall CM WATER CONNECTION (EAll1425(257.88273-C WEEKS IN ADVANCE, IF METER ONLY INSTAL (Al All 257i l <br />SEWER SERVO E <br />If you love a sewer blockage outside your home, OR Puget Sound Energy EGA at ]de4225-5773 to prevent cross bare danger. <br />EMRPERMffW SP-19133 PERmn TYPE SIDE SEWERREPAIRLID No. <br />MARK. PIeW Note: The Oil rtgNnip18br51nYlYr01M18Rs in thesi48 Newerw Me Otty ROWF WEMC24.0R.260 <br />FEET repair and cleanout installation. All work 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 />Perron[ Licht Fed Fee <br />$069 <br />TOTAEFEE <br />00.0 <br />Permits expire If work Is not commenced within 1W days or ceases for more than Do days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2303-041 <br />i a"atcow <br />