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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />w15XINeTON (425)257-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2307-011 <br />IssueD DArt: g/31/2013 <br />Ipp400REss: 2626 GRAND AVE <br />LE"LOEXR: <br />ossormou Side Sewer Line Upgrade <br />APN: 00439161601900 <br />"ER Shannon Votaw <br />TENFINT. <br />2626GRANDAVE, <br />mu.TOR: OWNER <br />Everett WA 98201 <br />PHONE <br />PHONE <br />WATERSERVICE <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for hrlgation services. <br />Correct Tim Markham at (425) 29d833 or by email at tmarkbam@everettwa gov. <br />TO%IHEROLE CNN WATER CONNECTION CALL 14251257.88273-a WEEKS IN ADVANCE, IF METER ONLY INSTALL com.Du51251i&1 <br />SEWER SERWCE <br />Nyou have a sewer blockage outside your home, call Puget Sound Energy first 2489-225-5773 to prevent moss bare danger. <br />FEWER PEROT NO, SP-19301 PERmvrvPE SIDESEWER-ALTERATION uo NO. <br />IEMARxS. Plaa NM:neCiWismq nMlebr"l Aral MF inth,5ide Nwer On MeO ROWp WEMC14.08.260 <br />NotRy the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspection. <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 />PEI C,,d,t Card Fee <br />$0,69 <br />00.0 <br />TOTALFEE <br />Permits expire If work Is not commenced within 18D days or ceases for more than 180 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2307-011 <br />appli"I <br />