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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />w6SHINNTON (425)257-8810 <br />Online Insoettlan Request onllneoermiss.everwtym oov <br />PERMITNUMBER: U2305-006 <br />Issu6o ogre: 3/4/i0i3 <br />TOR ADDREss: 23045TH SET <br />LE6nLTESIT <br />oEsaiPnou side sewer repair <br />APN: 00491100013000 <br />DEEPER HAUGSTAD TROY NETS & ANGELINA MARIE <br />TENFINT. <br />PO BOX 14970 <br />TRACT)^' <br />HOLMSTALYS PLUMBING INC <br />MILL CREEK WA 98082 <br />PO BOX 5635 <br />EVERETT WA 98206-5635 <br />PHONE <br />PHONEz (425)259-5635 <br />WATERSFRVICE <br />EMARKS <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@everettwa gw. <br />TO tkali CIFy WATER CONNECTION CALL NEFS)257.88273-C WEEKS IN ADVANCE. IF MfTER ONLY INSTALL CAUL (425)251i&1 <br />SEWER SERVICE <br />Nyou have a sewer blockage outside your home, call Puget Sound Energy first at 1-888E225-S773 to prevent cross bare danger. <br />EMRPCRMffW SP-19173 PERMIT TYPE SIDE SEWERREPAIRu0 N0. <br />SW . PI¢Nu,: The City IF mg nMlekr"ry Yral MF in themde Wwer On MCCIty ROWpMPMEMETA.M.260 <br />placement side sewer Rom driveway Rate to main <br />RALEY the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspettlon. <br />Itisthe applicants; 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 />$3000 <br />PEI Credit Fed Fee <br />$069 <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: U2305-006 <br />appllnmtaW <br />