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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WARNINOTON (425)25)-8810 <br />Online InsoettlOn Request onllneoermlts.everettam oov <br />PERMITNUMBER: U2305-052 <br />Issu6D ogre: 5/31/2023 <br />IODPDOss. 209 N BROADWAY <br />¢wLDEscR: <br />DECRiPON Extend existing l" poly water service <br />APN: 29051700200900 <br />xE^WA STATE OF PARKS &REC <br />m. <br />WSDOT <br />PO BOX 42650 <br />TMsume: <br />USER UNDRGRNO&ERTHWRKS INC <br />OLYMPIA WA985M <br />20417 87TH AVE SE <br />SNOHOMISH WA98296 <br />PHONE <br />PHI (425)251-1636 <br />WATERSFRVICE <br />n.nnw< <br />.,ro< <br />nonw. <br />m m <br />ww.ww«D <br />0 <br />SO.14986 <br />¢MARKS. <br />Extend existing V <br />poly water service-SEESREMAP <br />FORAREAOFWORKON SITE <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 i markbamileverettwaKov. <br />TO Spai CNy WATER CONNECTION ME 257-8827 3.4 WEEKS IN ADVANCE, IF MMR ONLY INSTALL GILL (42D 251i&1 <br />SEWER SERVICE <br />Nyou have a Newer blockage outside year home, call Puget Sound Energy firstrt 2d &225-5773 to prevent cross bare danger. <br />XWERIEBMnrq PERMnrvx[ WATERLINE BEHIND METER LID NO. <br />IEAAi PI08H Nq0: no phy I6 regNn6p18brY0nYlYr011NI0tk in th,xid, seweron Nw ClIIy ROW 44eper EMCIALM-260 <br />RANEY the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspection. <br />It is the 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 />WATER UTILT'FEE <br />$3500 <br />Percent Credit Card Fee <br />$0,81 <br />$35.81 <br />TOTALFEE <br />Permits expire If work Is not commenced within 180 days or ceases for more than 180 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2305-052 <br />appllnmtaw <br />