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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WRRNINATON (425)257-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2301-025 <br />NsueOOArt: 1/2I/2013 <br />JOHAEOREss: 3126 RUCKER AVE <br />u"LOESOR: <br />muspooN: SEWERCAPOFF <br />APN: 00437513402000 <br />"ERBRADSHAW SHERRY <br />TENFINT. <br />PO BOX 1364 <br />CONTRANTI <br />ASCENOENTLLC <br />EVERETT WA 98206 <br />21912th Street SE <br />Puyallup WA 98322 <br />PHONE <br />PHOI 12531137-6355 <br />WATERSERVICE <br />EMARKS <br />NOTE: A water backflow prevention and/or consultation is required regarding crass; connection control for irrigation sewhoes. <br />Correct Tim Markham at (425) 257UM33 or by email at timarkhann@everettrim.gov. <br />TO HHEOOLE CITY WATER CONNECTION CALL HER) 257.88273-4 WEEKS IN ADVANCE IF METER ONLY INSTALL GILL (42D 251-TSW <br />SEWER SERWCE <br />if You love a sewer blockage outside Your home, call Puget Sound Energy first 14Lg4225-5773 tq prevent moss bare danger. <br />EVER PEROT NO, SP-19065 PERmarvPE SIDESEWER-CAPOFF uo No. <br />aPLI PlaWNnh:MeCiWismg nMlebr"l Aral MF inthe5ide Nwer OntM ROWp WEMC1a.OR.260 <br />EWER CAP OFF <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 />5111.00 <br />PNtent Licht Card Fee <br />$0,23 <br />TOTALFFE <br />$10.23 <br />Permits expire If work Is not commenced within 1811 days or ceases for more than 180 days. <br />_APPLICANT _TREASURER _ADDRESS FILE <br />PERMIT NO: U2301-025 <br />ippllnI <br />