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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: U2309-034 <br />IuugR ogre: 9/20/2023 <br />IORADDREa:. 123 DORN AVE <br />LawLOEscR: <br />DESCRIPTION 6' Spot repair in the front yard&'deep <br />APN: 003925WW1100 <br />xE^. MAHMOUDIAMAL <br />TENFINT' <br />1333062ND DR SE <br />HOMESERVICE PLUMBERS LLC <br />EVERETT WA98208-9411 <br />560817TH AVE NW <br />SEATTLE WA 98107 <br />PHONE <br />PHOI (206)330-9830 <br />WATERSERVICE <br />EWRKS <br />NOTE: A water backflow prevention and/or consultation is required regarding trces connection control for irrigation services. <br />Correct Tim Markham at (425) 257d833 or by email at tmarkbam@everettwa gw. <br />TO%HEODU CITY WATER CONNECTION GALL(415125169273.4 WEEKS IN ADVANCE, IF METFR ONLY INSTALL CALL (425)251i&1 <br />SEWER SERVICE <br />If you have a sewer blockage Outside your home, call Puget Sound Energy first at 14I89-225-5773 to prevent cross bare danger. <br />EWER PEROT No SP-19386 PERavrvPE SIDESEWER-REPAIR up NO. <br />THAI PleWNM:neCiWis TW nMlebr"l Aral MF inth,5ide Nweron MBOrry ROWp WEMC24.0R.260 <br />'SPOT REPAIR V OEEP IN FRONT YARD <br />Nothy 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 />Perri Licht Card Fee <br />$0.69 <br />TOTALFEE <br />00.0 <br />Permits expire If work Is not commenced within LED days or ceases for more than 180 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2309-034 <br />KHPli,,I <br />