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CITY OF EVERETT <br /> UTILITIES <br /> EVERETT PERMIT SERVICES <br /> W A S H I N G T O N PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2011-019 DATE: <br /> JOB ADDRESS 1422 LOMBARD AVE LEGAL DESCR: <br /> DESCRIPTION Side Sewer Repair APN: 00475428902100 <br /> OWNER FAGAN CHRISTINA M TENANT <br /> 1422 LOMBARD AVE CONTRACTOR <br /> MR ROOTER <br /> EVERETT WA <br /> 2000 S 116TH ST <br /> SEATTLE WA 98168 <br /> PHONE PHONE 2066512917 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO, APPLICATION NO, <br /> REMARKS: <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. SP-18462 PERMIT TYPE 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 /> SIDE SEWER REPAIR <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 /> SEWER UTILITY FEE 30.00 <br /> TOTAL FEES $30.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NUMBER U2011-019 <br /> Applicant Copy <br />