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ii <br />EVERETT <br />WASHINGTON <br />UTI LITI ES , <br />PERMIT <br />it-793?v <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425)257-8810 <br />Online Inspection Request: onlinepermits.everettwa.aov <br />PERMIT NUMBER: U2210-030 <br />DATE: <br />JOBADDRESS: 9612 19TH AVE SE UNITE <br />LEGALDESCR: <br />DESCRIPTION: SEWER CONN + 1" METER ONLY - GRAYSON SQUARE BLDG L, UNIT E <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 />(09 � �(!J <br />�j <br />BOTHELL WA 98012 <br />PHONE: <br />PHONE: (425)438-2945 <br />WATER SERVICE <br />SERVICE SIZE <br />SERVICE TYPE <br />FRONTAGE <br />ND OF UNITS <br />SERVICE ORDER NO. <br />APPLICATION NO. <br />0 <br />SO-14866 <br />APP-19839 <br />REMARKS: 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-18972 IPERMITTYPE WATER AND SIDE SEWER WORK ILID NO. 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 $630.00 <br />SEWER UTILITY FEE $70.00 ` <br />ED2F11RWF3 <br />( IIIIII INWI1III1IfIII1IIIII R�: � OCT 3 <br />1572205720 1 202 <br />n0-04�.12841673 - <br />IIIII I I IIIII I I IIIII III I IIIII IIIII II IIII �'R�7 r �p � Tll' <br />r <br />4�3�� 'dJ 11 JE se. <br />--id=—FEE ��— $700.00 perIYlit Servl:,es <br />Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT NO: U2210-030 <br />_APPLICANT _TREASURER _ADDRESS FILE <br />3 (lam LJ <br />Applicant Copy <br />