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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />DI <br />W&SHIMATON (425)257,8810 <br />Online Inspection Request onllnecermiss.everettwo.aov <br />IFERMITNUMBER: U2304-010 <br />Nsueo ogre: I/IS/2013 <br />lop AooREss: 3005 LEONARD DR <br />LEGALNEUT <br />oESaIPTON. Side Sewer Repair <br />API: 005531M501700 <br />OWNER . STIBRE RICHARO <br />TENENT. <br />3005 LEONARD DR <br />moo' <br />PUGET SOUND PLUMBING <br />EVERETT WA91201-2508 <br />11803 DES MOINES MEMORIAL DR <br />SEATTLE WA 98169 <br />PHONE <br />PHOPI 12061938-3219 <br />WATERSFRVICE <br />EMARKS <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br />Correct Tim Markham at (425) 257d833 or by email at tmarkbam@everettwa gov. <br />TO%HEODU CHIP WATER CONNECTION ME Ia251257.88273-A WEEKS IN ADVANCE, IF MITER ONLY INSTALL CALL R2SI 251i&1 <br />SEWER SERWCE <br />If you love a sewer blockage outside your home, call Puget Sound Energy first at 1-888-225-5773 to prevent moss bare danger. <br />Ewen PEROT NI SP-1914T PERMirnPE SIDESEWER-REPAIR uo No. <br />EIARxS. PlaWNM:neCiWismg nMlebr"l Aral Mr inthe5ide Nwer On MeO ROWr Rer FMC2a.N.260 <br />town trench sewer replacement firmer SDR 35 Bosomed. 5 foot liner to the tap <br />Pudgy 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 />PNtent Licht Fed 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 180 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2304-010 <br />ippllnmraW <br />