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9612 19TH AVE SE D 2023-12-18
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9612 19TH AVE SE D 2023-12-18
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Last modified
12/18/2023 2:29:34 PM
Creation date
12/18/2023 9:46:39 AM
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Address Document
Street Name
19TH AVE SE
Street Number
9612
Unit
D
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-it "7 � 3 6q I�) <br />01 <br />EVERETT <br />WASHINGTON <br />UTILITIES <br />PERMIT <br />-A� 793 g 5 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425) 257-8810 <br />Online Inspection Request: onlinepermits.everettwo.gov <br />PERMIT NUMBER: U2210-029 <br />I DATE: <br />JOBADDRESS: 9612 19TH AVE SE UNIT D <br />LEGALDESCR: <br />DESCRIPTION: SEWER CONN + 1" METER ONLY- GRAYSON SQUARE BLDG <br />L, UNIT D <br />APN: 28051800403000 <br />OWNER: PACIFIC RIDGE-DRH LLC <br />TENANT: GRAYSON SQUARE TOWNHOMES BLDG L <br />17921 BOTHELL EVERETT HWY STE <br />CONTRACTOR: PACIFIC RIDGE - DRH LLC <br />BOTHELL WA 98012 <br />17921 BOTHELL EVERETT HWY STE 100 <br />BOTHELL WA 98012 <br />PHONE: 3 <br />PHONE: (425)438-2945 <br />WATER SERVICE <br />SERVICE SIZE <br />SERVICE TYPE <br />FRONTAGE <br />NO OF UNITS <br />SERVICE OIDER NO. <br />APPLICATION No. <br />0 <br />SO-14865 <br />APP-19838 <br />1EMARKS: 1" METER ONLY <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 />If you have a sewer blockage outside your home, call Puget Sound Energy first at 1-888-225-5773 to prevent cross bore danger. <br />ISEWERPERMITNO. SP-18971 IPERMITTYPE WATER AND SIDE SEWER WORK -ILIDNO. I <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 TO MAIN PLUS (1) CONNECTION TO BUILDING <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 />WATER UTILITY FEE <br />imi,Wiiiii41u7,4.TOTALFEE <br />nHNi <br />$630.00 <br />$70.00 <br />I IIIIINIIIIIIIIIIINIIIINIII <br />1572205880 <br />$700.00 <br />Permits exnire if wnrk is not cnmmpncerl within 1.qn rlays nr rpasps fnr mnrp than 1 RO rinvs <br />_APPLICANT TREASURER _ADDRESS FILE <br />�-\j 3.2y�_23 <br />OCT 3 1 202? <br />CITY T T, <br />PERMIT NO: U2210-029 <br />Applicant Copy <br />
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