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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />WASHINGTON (425)25)-8810 <br />Online Insta lan Reaues[onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2309-029 <br />Issued ogre: 9/38/2023 <br />RELEGATES 19 W INTERCITYAVE <br />¢wLOEsce: <br />DESCRIPTION Enmmmry Side Sewer Spot Repair <br />ON: 00480200502003 <br />OWNER ALLEN THOMASL <br />TENANT' <br />1619 S LK STICKNEY DR <br />TRACTOR' <br />SOUTH W EST PLRG & `h4RHTR5 EDC <br />LYNNWOOD WA98037 <br />4150 Lind Ave. SW <br />Renton WA98057 <br />PHONE <br />PHORI (206)8674556 <br />WATERSFRVICE <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection DOI for irrigation services. <br />Contact Tim Markham at (425) 251 or by email at tmarkbam@everettwa gw. <br />TO HNEOOLE CNN WATER CONNECTION(All I425) 25180273.4 WEEKS IN ADVANCE, IF MMR ONLY INSTALL OILL Leas) 257i l <br />SEWER SERWCE <br />If Sour lave a sewer blockage outside your home, OR Puget Sound Energy For III 1-889-225-5773 to prevent cross bare danger. <br />HEWER PERMIT N0. 5P-19384 PERMIT FE SIDE SEWERREPAIRLID NO. <br />iERMARKS PleW Nate: The oryis RgNniplBbralnYlYr01M18Rs in thrI Newer ONM8Cary ROWp WEMC24.0R.260 <br />Side Sewer Spot repair/ Installing dual sweep PROMOTE <br />Notify the III 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 />Perm[ Licht Card Fee <br />$0.69 <br />00.0 <br />TOTALFEE <br />Permits expire If work Is nor commenced within LED days or ceases for more than LED days. <br />_APNCANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2309-029 <br />ippllnm CaW <br />