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CITY OF EVERETT <br /> UTILITIES <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2106-036 DATE: <br /> JOB ADDRESS 1015 100TH ST SW LEGAL DESCR: <br /> DESCRIPTION 3/4"COMPLETE DOMESTIC WATER SERVICE LOT 5 APN: 28041300301400 <br /> OWNER BUSTARD CUSTOM CONST INC TENANT <br /> PO BOX 1243 CONTRACTOR <br /> MARYSVILLE WA 98270 BUSTARD CUSTOM CONST INC <br /> PO BOX 1243 <br /> MARYSVILLE WA 98270 <br /> PHONE 4258766551 PHONE 4258766551 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO, <br /> 3/4" SFR SO-14710 APP-19689 <br /> REMARKS: 3/4"COMPLETE DOMESTIC WATER SERVICE LOT 5 <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 /> Ifi you have a sewer blockage outside your homq call Puget Sound Energy first at 1-888-225-5773 to prevent cross bore danger. <br /> SEWER PERMIT NO. PERMIT TYPE NEW CONNECTION 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 /> INSPECTED BY: DATE: <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 3,260.00 <br /> TOTAL FEES $3,260.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NUMBER U2106-036 <br /> Applicant Copy <br />