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UTILITIES � <br />PERMIT <br />PERMTT NUMBER U16Q2-OQ3 <br />Joa AnnRess 2001 RAINIER AVE <br />DLSCRIPTION INSTALL BACi<WATER VALVE <br />OVJN�R MONTOPOL] GYN"t'HIA L <br />20D1 RAINIER AVE <br />f:VERETT WA 98201-Z432 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />320Q GElln12 S"]'RF:I:T� <br />EVERL'TT, WA 9820f <br />(425) 257-8810 <br />DAT£: 2� ] �Z � j ( <br />LEGAL DSSCR: �,'APT'fOL HILL ADD BLK 4l7 D-00 - LO' <br />^PN: 00401541700id� <br />TCNANT <br />CONTItACTOR AMERICAt�! SEPTIC & S1D� SWR LLC <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />�!'i�oNE 42525J3592 (rHON'= 4257897296 I <br />WATER SGRVIC� <br />SF.RyICGTYPE I FRUNTAGfe � tJ0 ��lfNt'f5 i $GRVICF.ORDE}INO. ' <br />REb1AltiiS: <br />NOTE: A water backflow prevention and/or consullation is reyuired regarding cross connection control toc irrigation serviccs and <br />services i" or larger. Call Tim Markham at (425) 2�7-8833. <br />PLEAS� CA1,I� (425) 257-8862 TWQ TO THREE W�EKS 4'RI�R'I'O WAN'I'!NG WAT�R SERVICE INS"1'ALLED. <br />.-y � <br />=F�i= t_iv' �-1-�J= LI:/ <br />SEWGR PLRMI"f NO. SP-� �SOS PGRMI"I'7'YPE fIL.TERATION I Llp h�3a �? r; ;—�-; � <br />fZI:MARKS: i <br />Plensc Notc; "i'l�e City is respunsible fpr structura! dcfects in tfie side sctvcr on the City R�W side per LMC 14.08.2G6 <br />,;;, ;,,-, <br />i � r-a <br />r_,� i � <br />1 c,,;z <br />p._-, E.._� <br />[NSYLCT6D k3Y: G-�..1 �/ ':,4..�� ""'—' DA'fL•',,. 4E�,•,�'.:'L.�'!''� g� c�a <br />..k �_.i �--� �_ � cx �_*a <br />� 'Rs?u`'<='in""'�o�`' <br />Notify the Public Works Inspector (4 5} 257-8810 24 hours in advance to scheduEe an inspedtion. . 3 , t:.,, ,,.�., •, >�, ". ; <br />�, �. � r a c..•i t-� r=._� c:� �;=a �. <br />C':7 � =} C�'7 <br />]t is the npplicant's responsibility to insure xdequate protection against sewer backflow if the structctre is located in the cambined sanitary/storm�;���r <br />[.,.� <br />system, '�` `�' <br />Sew�er Utiliiy Fee <br />3Q00 <br />'k'07'Al. F�ES $30.0� <br />Permits expire if work is not commenced �vithin 180 days or ceases Por more tl�an ] 80 days. <br />PERMIT €YUMBCR U1602-003 . <br />Applicant Copy <br />