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UTILITIES CITY OF EVERETT <br /> PERMIT PERMIT SERVICES <br /> EVERETT <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwo.gov <br /> PERMIT NUMBER: U2503-002 ISSUED DATE: 3/4/2025 <br /> JOB ADDRESS: 2204 12TH ST LEGAL DESCR: <br /> DESCRIPTION: IN MANHOLE, removal of existing single check and OSY valve APN: 29051700212400 <br /> OWNER: EVERETT PLAZA ASSISTED LIVING COMMUNITY TENANT: EVERETT PLAZA ASSISTED LIVING COMMUNITY <br /> 2737 77TH AVE SE,STE 203 CONTRACTOR: BURNS FIRE PRTCTN SYSTEMS INC <br /> MERCER ISLAND WA 98040 PO BOX 1110 <br /> GRANITE FALLS WA 98252 <br /> PHONE: PHONE: (360)691-2235 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0 <br /> REMARKS: IN MANHOLE,removal of existing single check and OSY valve,new backflow device <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)257-8841 <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. PERMITTYPE WATER-BACKFLOW PREVENTION 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 /> 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 /> BACKFLOW DEVICE OUTSIDE OF BUILDING CITY $35.00 <br /> Percent Credit Card Fee $0.81 <br /> TOTAL FEE $35.81 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NO: U2503-002 <br /> APPLICANT TREASURER ADDRESS FILE <br /> Applicant Copy <br />