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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />01 <br />W6RNINOTON (425)251-8810 <br />Online Insoettlan Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2309-033 <br />Issued ogre: 9/19/2023 <br />la6Pp0aes. 142174TH ST SE <br />¢wLPEscR: <br />DOCRiPnoN Side Sewer Spot Repair- Urgent, Out of Service <br />APn: ON723WW2100 <br />OWNER GOSSELL MICHAEL&LINDA <br />TENANT' <br />142174TH ST SE <br />mu.TOR: <br />SEATOWN ELECTRIC HEATING&AIR <br />EVERETT WA 98203 <br />420078TH ST SW <br />MUKILTEO WA 98275 <br />PHONEz (425)8)9-6984 <br />PHONEz 12061905-4946 <br />WATERSFRVICE <br />EWRKS <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br />Contact Tim Markham at (425) 257HRI or by email at tmarkbam@ewrettwa gw. <br />TO%HEOVU CIIy WATER CONNECTION (ALL HUS)257.88273.4 WEEKS IN ADVANCE, F MflFR ONLY INSTALL OILL DUES) 251 <br />SEWER SERWCE <br />If you love a sewer blockage outside your home, call Puget Sound Energy first a[ 1de4225-5773 to prevent cross bare danger. <br />OWED PERMIT Na. SP-19385 PERMIT TYPE SIDE SEWERREPAIRuO No. <br />McRR. PIeW Nate: The City IO RgNnip18br51nYlYr01M18Rs in the5i48 sawer Oa M8CRIy ROWpMpMFMC14.08.260 <br />IRGENT OUT OF SERVICE SIDE SEWER SPOT REPAIR <br />III Property -On Site Work Only <br />NotRy the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspettlon. <br />It is the applicant's responsibility t0 insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm sewer <br />Within. <br />FEES <br />SEWER unury FEE <br />$30.00 <br />PBrcent Licht Cur Fee <br />$0.69 <br />TOTALFFE <br />00.0 <br />Permits expire If work Is not commenced within 180 days or ceases for more than 180 days. <br />PERMITNO: U2309-033 <br />_APNfANT _TREASURER _ADDRESS FILE <br />