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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 2574810 <br />PERMIT NUMBER U1202-005 <br />I DATE: 4/9/2012 <br />JOB ADDRESS 9924 4TH AVE W <br />LEGAL DESCR: <br />DESCRIPTION NEW SIDE SEWER CONNECTION <br />ITN: 28041300304400 <br />OWNER THOMPSON RONALD E <br />TENANT <br />2506 VIEWCREST <br />CONTRACTOR DAN D SIMMONS CONST INC <br />EVERETT WA 98203 <br />1610 ENGLAND AVE <br />EVERETT WA 98203 <br />PHONE 4253275988 <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE No. OF UMT7--7 SERVICE ORDER NO. APPLICATION NO. <br />1 <br />REMARKS: <br />NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services and <br />services V or larger. Call Tim Markham at (425) 257-8833. <br />PLEASE CALL (425) 257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br />SEWER SERVICE <br />SEWER PERMIT NO. SP-14540 PERMIT TYPE NEW CONNECTION LID NO. <br />REMARKS: <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 70.00 <br />TOTAL FEES $70.00 <br />Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT NUMBER U1202-005 <br />Applicant Copy <br />