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dk-ttyee-tg'/ <br /> UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT PERMIT SERVICES <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON 30 (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwa,gov <br /> PERMIT NUMBER: U2211-020 DATE: <br /> JOB ADDRESS: 9634 19TH AVE SE UNIT A LEGALDESCR: <br /> - DESCRIPTION: SEWER CONN+1" METER ONLY-GRAYSON SQUARE BLDG K,UNIT A APN: 28051800403000 <br /> 'OWNER: PACIFIC RIDGE-DRH LLC TENANT: GRAYSON SQUARE TOWNHOUSE BLDG K <br /> 17921 BOTHELL EVERETT HWY STE CONTRACTOR: PACIFIC RIDGE-DRH LLC <br /> BOTHELL WA 98012 17921 BOTHELL EVERETT HWY STE 100 <br /> BOTHELL WA 98012 <br /> PHONE: 1 y (v� L.l Z PHONE: (425)438-2945 <br /> 5-1 74(83(Li' S"' I-A- WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 10-1-- O cf 0 SO-14876 APP-19849 <br /> REMARKS: 1 INCH METER ONLY l� <br /> U�etii ‘( +\5+"el <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 /> SEWER PERMIT NO. SP-18987 PERMIT TYPE WATER AND SIDE SEWER WORK 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 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 " 2 8 C J E <br /> --;\ <br /> NOV 18 2022 <br /> TOTAL FEE $700.00 <br /> CITY OF EVERETT <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. Permit Services <br /> PERMIT NO: U2211-020 <br /> _APPLICANT _TREASURER _ADDRESS FILE `J g <br /> Applicant Copy <br />