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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WASHINGTON (425)25)-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2303-015 <br />Iuueo ogre: 3/8/i0i3 <br />UOEAGREO 3613WUMOREAVE <br />LEGALCAME <br />Guack now. Side Sewer Repair via Excavation <br />APN: 004514W900600 <br />"E^ROBERTSIULIETA <br />TEWNT. <br />3613 WETMORE AVE <br />comeaurcer <br />OIRTCHEAPINC <br />EVERETT WA 98201-4235 <br />2617 RUSSELL WAY <br />Everett WA 982N <br />PHONE <br />PHOI (425)512-9652 <br />WATERSERVICE <br />EMARKS <br />NOTE: A water backflow prevention and/or consultation is required regarding moss connection control for irrigation services. <br />Correct Tim Markham at (425) 2574833 or by email at tmarkbam@everettwa gov <br />TO HEIII CM WATER CONNlUION(ALL JUS)251R9273.4 WEEKS IN ADVANCE. IF METER ONLY INSTALL CALL (425(251i&1 <br />SEWER SERVICE <br />If you have a sewer blockage outside your home, OR Puget Sound Energy EGA at 1-SEES-225-5773 to prevent was bare danger. <br />EwERGIRpnrq SP-19118 PERmvrvxe SIDFSEWER-REPAIR uO No. <br />potS. PNW Note: The City IF RW nMiebrol Ural Mrp in thesi4e ewer On MR ROWr WEMC24.N.260 <br />repair at exterior, back of house and installing a 4" double sweep clean-cut. <br />Notify 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 sewer <br />system. <br />FEES <br />SEWER unury FEE <br />$30,00 <br />Perm[ Licht Far Fee <br />$0,69 <br />TOTALFEE <br />00.0 <br />Permits expire If work Is not commenced within LED days or ceases for more than 180 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2303-015 <br />appli"I <br />