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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WASHINGTON (425)257-8810 <br />Online Insoettl0n Request onllneoermiss.everettwo.aoy <br />PERMITNUMBER: U2307-036 <br />Issued ogre: g/3/i0i3 <br />TOLACA REss: 2510 BROADWAY AVE <br />LEGALGESS <br />GsckrHoN: spot repair on side sewer on private property <br />APN: 00439156602500 <br />PERSEAWEND LTD <br />m. <br />WENDY'S RESTAURANT <br />1144 GOODALE BLVD <br />'""o'°^' <br />PRICOR TECH NOLOGIES LUC <br />COLUMBUS OH 43212 <br />2825 S 154TH ST <br />SEATTLE WA 98188 <br />PHONE <br />PHOII (971)217-3383 <br />WATERSERVICE <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br />Correct Tim Markham at (425) 257-8833 or by email at tmarkbam@evereltwa gw. <br />TO HXEOOLE CM WATER CONNECTION CAll NELS)257.88273.4 WEEKS IN ADVANCE, IF METER ONLY INSTALL 011I(4251257-al <br />SEWER SERVICE <br />If you have a sewer blockages outside your home, OR Puget Sound Energy EGA US 2-888-225-5773 to present moss bare danger. <br />XMRPCRMn NOT PERMIT TYPE SIDE SEWERREPAIRuO No. <br />IEWRO Plaa NM:neCiWismg nMlebr"l Aral Mr inthe5ide Nwer On MBO ROWp WEMC24.08.260 <br />Kathy the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspettlon. <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 />SEWER unury FEE <br />$30.00 <br />Percent Licht red Fee <br />$0.69 <br />00.0 <br />TOTAEFEE <br />Permits expire If work Is not commenced within HILL days or ceases for more than 180 days. <br />_APFufANT _TREASURER _ADDRESS FILE <br />PERMIT NO: U2307-036 <br />ippllnMcow <br />