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� <br />UTILITIE S <br />PERMIT <br />PGEtMIT NUMBER U16Q2-001 � <br />ioa AD��ss � g23 OAKES AVE <br />DESCRIPTiON INSTALL SACKWATER VALVE <br />OWAlER URABECK SUS�NNF L <br />1823 OAI<ES AVE <br />EVLRETT WA 98201 <br />P{�o�� 2536402737 <br />� <br />SERVICE• Sl2E SG4tViCE TYPH <br />IIL'MAIiF.S: <br />CITY 4F EVERETT <br />PERMIT SERVICES <br />3200 CL'-DAR STRFET <br />EV�RGTT, WA 98201 <br />(425) 257-8810 <br />nATe: 2I1/2016 <br />Lr-.cn� oescR: EVERETT DIV K PLAT OF BLK 365 D-Oi <br />AP�� 00437936S41100 <br />TENANT <br />coN'nincroR AMERICAN SEPTIC & SIDE SWR LLC <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />I pHONE 4257897296 <br />'4!'ATER SERVICE <br />FIlONTAGE NO.Uf�NIiS SERVICEORDE4iNU. <br />NOTC: A �vater bacfctlow prevention and/or consultation is eequired regarding cross connection control for irrigation serviees and <br />services I" or iarger. Cafl Tim Markham al (42�} 257-8833. <br />Pi.EASE CALL {425) 257-8&62 TWO TO `l'HRE� WEEKS PRIOK TO WANT[1�IG WATGR SERV�CE INSTALL�.D. <br />c:.=4 Ci� -�=t: <br />SFWEItPLRMI'fNU SP 1G506 PERM1'S"fYPE AC.TGItA"I'lON ��-1D�r :�� '=�-� <br />RrNiARK5: I'Ic:ise NotCc Tl�e City is responsiblc fur structurnE dcl'ccts in the side sewer on the City ROI�' side per E�7C 1�1.08.260 <br />Al'PI.IfA7'IDN <br />DA'I'F: 4. i—�;,�✓ �= <br />INS4'GC['ED BY: "'�-" -- �,. ^.. _ ;.._, <br />rr <br />. .�y;; �,� G-� t.rJ C� r_..! <br />� r.,` � �"i +.'_.� i`a.l �� 1'.7 � .r.� <br />, 3�,.< v� r �n <br />Notify the ['ublic Works Inspeclor (42 257-8810 24 hours in Hdvance to schedul� an inspection. `��,,,,+ �� �, �, r4= � ,`� "a <br />C� �.� r_?7 <br />lt is the applicant`s responsibility to insurc adeqiiale prolection abainst sewer backtlota if'the stivcture is localed in the combined sanitarylSL�PR'� �.�j`�Z` <br />�_.�. r.r1 <br />SYSiC111. - �� <br />Sewer Utility Pee <br />3a.00 <br />TO"fAL FE�S $30.00 <br />Permits expire il' work is no1 commenced wichin 180 dxys or ceases For more lhan I RQ days. <br />PERMIT NUMBER U16a2-DO1 <br />Applicani Copy <br />