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UTILITIES CITY OF EVERETT <br />EVERETT PERMIT OPERMIT SERVICES <br />DI <br />W&SHINOTON (425)25)-8810 <br />Online Inspection Request onllnecermiss.everettwo.aov <br />PERMITNUMBER: U2310-033 <br />Issued ogre: 10/13/1013 <br />IORAMEREs. 414 S CABOT RD <br />¢wLOEscR: <br />DESCRIPTION Spotrepair <br />ON: 003933WW6%0 <br />OWNER '. MOSS DAVID M & MESHKE JASONL <br />TENI Jason <br />MI <br />8531 GOTHIC WAY <br />LMmwEmN <br />DIRT CHEAP IPIC <br />EVERETT WA 982M <br />2617 Russell Way <br />Everett WA 982N <br />PHONE <br />PHONEz (425)512-9652 <br />WATERSFRVICE <br />EMARKS <br />NOTE: A water backflow prevention and/or consultation is required regarding crass; connection control for irrigation services. <br />Contact Tim Markham at (425) 257d833 or by email at tmarkbam(Deverettwa gw. <br />TO skahl CIFy WATER CONNECTION CALLhere) 251R9273.4 WEEKS IN ADVANCE. IF METER ONLY INSTALL CALL (425)251i&1 <br />SEWER SERVICE <br />if Sou love a sewer blockage outside your home, call Puget Sound Energy Rrst at 2- &225-5773 to prevent cross bare danger. <br />EMRPCRMffW SP-19410 PERMIT TWE SIDE SEWERREPAIRuO NO. <br />MARKS. PIeW Nil The Cityis RgNnip18br51nYlYr01M1eRs in thesi48 Wwer On MeO ROWpMparEMCIA.M.260 <br />IDE SEWER SPOT REPAIR <br />Notify the Public Works Inspector (425) 257 891024 hours In advance to schedule an Inspection. <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 />system. <br />FEES <br />SEWER unury FEE <br />$30.00 <br />Percent Cretlit Fed Fee <br />$0.69 <br />TOTALFEE <br />00.0 <br />Peanuts expire If work Is not commented within 180 days or ceases for more than 380 days. <br />_APNfANT _TREASURER _ADDRESS FILE <br />PERMITNO: U2310.033 <br />ippllnmtaW <br />