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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WRRNINOTON (425)257-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2307-001 <br />IssueD pArt: 7/8/i0i3 <br />IppnppRESS 1101 W MURILTEO BLVD <br />L2wLOEsc3: <br />pescnimioN Emergency Side Sewer Spot Repair <br />APN: 005058MOD0502 <br />ONVINER Dean Hurley <br />TENANT. <br />1101 W. Mukilteo Blvd <br />courgivarch <br />SOUTHWEST PLBG&WgRNTRS LLC <br />Everett WA 98203 <br />4150 Lind Ave. SW <br />SEATTLE WA 981M <br />PHONEz (425)870-3855 <br />PHONEz (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) 2574R833 or by email at tmarkbam@everettwa gw. <br />TOHNEOVU CM WATER CONNECTION (A111415) 257.88273-4WEEKS IN ADVANCE.IF MMRMLY INSTALLCALL (@51251i&1 <br />SEWER SERVICE <br />Iryou love a sewer blockage outside your home, call Puget Sound Energy For at 1-889-225-5773 to prevent cross bare danger. <br />EWER PERMIT NO, SP-19296 PERuvrvPE SIDE SEWERREPAIRup No. <br />MARKS. Plaa Noh:MeCity ISMWOnsWlefor Ul oral MF inthe5idefeweron MeO ROWp WEMC1a.N.260 <br />'Istall Dual Sweep Clamour <br />RALEY 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 umitary/storm sewer <br />System. <br />FEES <br />SEWER unury FEE <br />$30,00 <br />PaI Licht Ford 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 180 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2307-001 <br />ippl¢enri <br />