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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WASHINGTON (425)25)-8810 <br />Online Inspection Request onllnecermiss.everetrom aoy <br />PERMITNUMBER: U2304-026 <br />Issued ogre: I/2I/2023 <br />IORAG R[as. 5211 S 3RD AVE <br />LLwLOEscR: <br />DESCRIPTION is It spot repair Install cleanout on private property <br />APN: 00500301800702 <br />OWNER . BLACK KYLE & CASEV <br />TEPANT. <br />52115BED AVE <br />'^"e'°^ <br />RESCUE ROOTER <br />EVERETT VIA 98203-4147 <br />965 RIDGE TAKE BLVD STE 201 <br />MEMPHIS TN 38120 <br />PHONE <br />PHOI (253)8)2<902 <br />WATERSERVICE <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br />Contact Tim Markham at (425) 257d833 or by email at tmarkbam@evereltwa gw. <br />TO HXEOOLE DIN WATER CONNECTION (ALL (425) 25169273.4 WEEKS IN ADVANCE, IF METER ONLY INSTALL CALL (425( 251i&1 <br />SEWER SERVICE <br />IF"u have a sewer blockage outside your home, OR Puget Sound Energy first at 2- &225-5773 to prevent wss bare danger. <br />EAERPCRpnno. SP-19158 PERMirrxe SIDESEWER-REPAIR uO NO. <br />.5 MARKS. PNW Note: The City I6 mg nMlekr"n Ural MFp in tM1esi4e ewer On Me IRE, ROWp WEMC14.08.260 <br />R spot repair install cleanout on private property <br />Notity the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspection. <br />Itisthe 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 />PNtent Licht Card Fee <br />$0.69 <br />TOTALFEE <br />00.0 <br />Permits expire If work Is not commenced within 181) days or ceases for more than 180 days. <br />_APFOfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2304-026 <br />ippllnI <br />