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CITY OF EVERETT <br />UTILITIES <br />EVERETT <br />WASHINGTON <br />PERMIT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425)257-8810 <br />PERMIT NUMBER U2104-033 <br />I DATE: <br />JOB ADDRESS 8102 EVERGREEN WAY <br />LEGAL DESCR: <br />DESCRIPTION NEW SEWER CONNECTION FOR 1 BUILDING <br />APN: 28050700307000 <br />OWNER FOUR CORNERS LLC - Attn: David Ratliff <br />TENANT DAVITA CLINIC <br />10900 NE 8TH ST STE 1200 <br />CONTRACTOR <br />Heartland Construction <br />BELLEVUE WA 98004 <br />10900 NE 8th Street, Ste 1200 <br />Bellevue WA 98004 <br />PHONE 4254539551 <br />PHONE 4254524042 <br />WATER SERVICE <br />SERVICE SIZE <br />SERVICE TYPE <br />FRONTAGE <br />NO. OF UNITS <br />SERVICE ORDER NO, <br />APPLICATION NO, <br />REMARKS: <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br />Contact Tim Markham at (425) 257-8833 or by email at tmarkham@everettwa.gov. <br />TO SCHEDULE CITY WATER CONNECTION CALL (425) 257-8827 3-4 WEEKS IN ADVANCE. IF METER ONLY INSTALL CALL (425) 257-7264 <br />SEWER SERVICE <br />Ifi you have a sewer blockage outside your homq call Puget Sound Energy first at 1-888-225-5773 to prevent cross bore danger. <br />SEWER PERMIT NO. SP-18582 PERMIT TYPE SIDE SEWER ALTERATIOI, I LID NO. <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br />NEW CONNECTION FOR 1 BUILDING <br />INSPECTED BY: I DATE: <br />Notify the Public Works Inspector (425) 257-8810 24 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 UTILITY FEE 70.00 <br />TOTAL FEES $70.00 <br />Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT NUMBER U2104-033 <br />Applicant Copy <br />