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� UTILITIES CITY OF EVERETT <br />PERMIT SERVICES <br />Fn' PERMIT azoo c.r:nnR s�rril:i:�r� <br />r•.v�;���rr. wn �s2o� <br />(425} 257-8810 <br />PGRMI'T'fVUMB1�R U�S1Z-OZ� DATE: <br />J013 ApDRESS 4614 ALGER AVE SE i.�:cn� o�.sca: <br />DEscRrPr�oN INSTALL BACKWAT�iZ VALVE-ZION LUTHERAN CHURCI-� APN� 004120001013Ut <br />OWNER ZFON LU"THBRAN CI-ILJRCH-EVERETT <br />PO C30X 2116 <br />EVERETI' WA 98213 <br />TF.NAN1' <br />CON'1'ItACfOR AMERICAN SEPTIC & SIDE SWR L[.0 <br />26Q6 LARLIN DR <br />EVERETT WA 98203 <br />� Ntto�ve � PHONe 425789729b � <br />WATGR SERV[CE ° <br />SE•RVICE517E <br />RLMARKS: <br />���'P� I FRUN'fA(iE � KOOFUM1I"fS � SER1'!CF'OftI1LRN0 <br />NO'I�E: A water backftow prevention �nd/or consultatian is cequired 3'egarding cros> cannection control for irs'igaTion services and <br />setvices I" or laE•ger. Call Tim Markham at (425} 257-$833. <br />PI..EASE CALL (425) 257-8862'I'WO 1'0 "f1-(RL'•� WL'•EKS PRiOR TO WAN'!'INcJ WA"I'ER SERV[C� 1NSTA1_I,ED. <br />SEWERPEftM1TNU. SP-1f3458 1'ERMIT7'YPE ALT�:.fZF�TION � LI[7N0. t=j -,'�'r-,—K <br />REMARKS: Plcase Note: The City is responsiblc fur stc•uchir�l defccts in tLe side se*��er on thc City ROW side per ENIC [4,08.Zfif� : <br />r <br />INSPfiC'I'GD BY: <br />DAI�F; J ^^ //..r �' <br />A('I'I A('�\'fft)n NO <br />+:7 F_. <br />I"T'7 �'•,:3 <br />ca F?.. <br />i=• � <br />r <br />Notiiy the Public Work.� Inspcct, (425) 257-8810 24 how's in advance to schedule an inspecLion, <br />Ca 4� � ' o <br />� c:.a �•� •—> r„y �'�'t <br />�.� � <br />(t is the applicant's responsibility to insure adequate protection against se�ver b�ektlo�� il the structure is lacafed 'u� the comhined sanitar���stuiir'ti��z;� <br />syslem. j--. i" <br />FCES <br />■�� �rrr r <br />Sewer Utility ree <br />'fOTAL FE�S <br />30.00 <br />$3D.00 <br />Perrnits expire ifwo3�k is nai commenced within 18d days or ce��sr; for more than 180 da)�. <br />�ERMIT NUMBEIt U1512-429 <br />�,::.. � <br />Applicant Copy <br />