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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />W&SHINATON (425)257,8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITRIUMBER: U2306-039 <br />usuco ogre: 6/9/i0i3 <br />IoenooREss: 5501 S 2ND AVE <br />LE"Lmom <br />ocsalmou Side Sewer Spot Repair <br />APN: 00500303103000 <br />"ERIVORY S TREVOR&BOLANOS-IVORY BRENDA <br />TENANT. <br />5501S 2ND AVE <br />"Rune: <br />SEATOWN ELE(7TRICIELEC) CORP <br />EVERETT WA 98203 <br />4200 78TR ST SW <br />MILKILTEO WA 91 <br />PHONEz (425)31"465 <br />PHONEz(2061905-3690 <br />WATERSERVICE <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) 2574833 or by email at tmarkbam@evereltwa gov. <br />TO SCNEOVU CITY WATER CONNECTION CALL JUS) 25169273.4 WEEKS IN ADVANCE, IF METER MLY INSTALL CALL (415)2M gNa1 <br />SEWER SERWCE <br />NYou have a sewer blockage outside Year home, call Puget Sound Energy first at I-SM-225-5773 to prevent moss bare danger. <br />EWER PERMIT No SP-192T9 PERMIT TYPE SIDE SEWERREPAIRuo No. <br />iMgARKS. PlaWNM:neCiWismnMlebr"l Aral Mr inthe5idefewer On MeO ROWp WEMC14.4R.260 <br />de Sewer Spot Repair <br />Notify 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 />$30,00 <br />Percent Cretlit Fell Fee <br />$OJI <br />Percent Credit Card Fee <br />$0.69 <br />TOTALFEE <br />$31.a0 <br />Permits expire If work Is not commenced within 181) days or ceases for more than 180 days. <br />PERMIT NO: U2306-039 <br />_APNCANT _TREASURER _ADDRESS FILE <br />