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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WRRNINATON (425)251-8810 <br />Online lomecdon Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2308-050 <br />IssusR ogre: 8/25/2023 <br />Igenooncss: 2126 LOMBARD AVE <br />LYWLOESIT <br />OEsaImiON. Emergency repair of side sewer. All work on private property <br />APN: 00439143801900 <br />DINNER . LOMBARD 900 LLC <br />TEWNT. <br />330 EAGLE MOUNTAIN RANCH RD <br />mALTOR: <br />ROTO ROOTER SERVICES CO <br />SEDONA AZ 86336 <br />6321 TTH AVE S <br />SEATTLE WA 98108 <br />PHONE <br />PHONEz (253)405-]765 <br />WATERSFRVICE <br />EMARKS <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation serviros. <br />Correct Tim Markham at (425) 257d833 or by email at tmarkbam(Devereltwa gw. <br />TO%HEROLF LEM WATER CONNECTION CAll least 257.88273-4 WEEKS IN ADVANCE, IF METER ONLY INSTALL CALL BEES)251i&1 <br />SEWER SERVICE <br />If Thou have a sewer blockage outside your home, Fall Puget Sound Energy first List 14I89-225-5773 to prevent cross bare danger. <br />EMRPCRMffW SP-19351 PERMIT WPE SIDE SEWERREPAIRuO No. <br />MARKS. PIBW Note: The OWN RWOnible For5YW1Yr01M1eRs in thesi4e Wwer On MnC ROWF WEMC24.0R.260 <br />mergenry repair of side sewer <br />BOBBY the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspecdon. <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 Fed Fee <br />$0.69 <br />TOTALFFE <br />00.0 <br />Permits expire If work Is not commenced within LED days or ceases for more than 180 days. <br />_APFufANT _TREASURER _ADDRESS FILE <br />PERMITNO: U23MO50 <br />ippllnmcmE <br />