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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />W R I NINaroN (425) 252-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2304-003 <br />Iuurp ogre: I/6/i0i3 <br />l0onou rss. 501127H AVE W <br />LEGALOEUT <br />DEE(AIvnoN Emergency Side Sewer Spot Repair <br />APN: 00567900200600 <br />xE^. MCOONALO RUSTY <br />TOWNT. <br />501127TH AVE W <br />TMPLTo^ <br />SOUTHWEST PLRG & `h4RHTRS LLC <br />EVERETT 198203-1438 <br />4150 LINO AVE SW <br />RENTON WA98057 <br />PHONE <br />PHOPI (206)8674556 <br />WATERSERVICE <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(Deverettwa gw. <br />TO%HERULE CIFy WATER CONNECTIONC EREPS) 257.88273-C WEEKS IN ADVMCE, IF METER ONLY INSTALL CALL (425)251i&1 <br />SEWER SERWCE <br />If"LL have a sewer blockage outside your home, Fall Puget Sound Energy first at 24EES-225-5773 to prevent was bare danger. <br />Ewen PERMIT No SP-19141 PERmirnPE SIDE SEWERREPAIRup NO. <br />MARxS. PlaWNM:neCiWismg nMlebr"m Aral MF inth,5ide Nweron MeO ROWp WEMC24.08.260 <br />mergenry Side Sewer SpotRepair- INSTALL DUAL SWEEP CLEANOUT <br />RALEY 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 server <br />system. <br />FEES <br />SEWER unury FEE <br />$30,00 <br />Parrot Ecru Fed Fee <br />$0.69 <br />TOTALFEE <br />00.0 <br />Permits expire If work Is nor commenced within 180 days or ceases for more than 1e0 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2304-003 <br />Ppplloemcow <br />