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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />w15XINeTON (425)25]-8810 <br />Online Insoettlon Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2303-019 <br />IuugD DArt: 3/]3/2013 <br />KwAowFss. 1832 RUCKER AVE <br />LE"LTEXR: <br />DEE(AIentN addition of 4 "Y and 10'of 4" line to be upped off <br />APN: ON37437101700 <br />OWNER . Dave HelgesonTENANT: <br />David HelReson <br />1832 Rucker ave <br />'^"°'°^' <br />OWNER <br />Everett WA 98201 <br />PHOI (425)320-7007 <br />PHONE <br />WATERSERVICE <br />NOTE: A water backflow prevention and/or consultation is required regarding moss connection Lateral for irrigation services. <br />Contact Tim Markham at (425) 257d833 or by email at tmarkbam@everettwa gov. <br />W%Hi CHN WATER CONNECTION CALL hi 25189273.4 WEEKS IN ADVANCE, IF METER ONLY INSTALL CALL (1251 <br />SEWER SERVICE <br />If you lave a sewer blockage outside your home, call Puget Sound Energy first at 14I89-225-5]]3 to prevent Lass bare danger. <br />EwERPCRpnIA SP-19122 PERMirnPE SIDESEWER-ALTERATION LID No. <br />RLRxS. PIBW Nate: The CitylS regNnip18br51nYlYr01MI0atz in thesi48 Nwer Oa NNCIW ROWp WEMC24.0R.260 <br />ddidon of 4" Y and TV of 4" line to be capped off. Owner installation for future construction Of a OADU. <br />Pli 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 />Perout Licht Card 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 Died days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2303-019 <br />ami"I <br />