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UTILITIES <br />PERMIT <br />PERMIT NYJMBER U1603-UO2 <br />�oa nnarzrss �401 ROCI<EFELLER 11.V� <br />DESCRIPTIOIQ INSTALL BACTCWATER VALVE <br />o'"'N�R DONHUFF JOANNE <br />2401 ROCICEFELL�R <br />EVERETT WA 98201 <br />CITY OF EVERETT <br />PERMIT SERV�CES <br />3200 CEDAR S"C'RF E`f <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATG: <br />LECAL D�scR: EVERETT PLAT OF BLK 550 D-02 - W 8� <br />APN� OO43iISSOOOlO2 <br />TENANT <br />coNrKncroa AMERICAN SEPT3C & SIDE SWR LLC <br />2606 LAftLIN DR <br />EVERETT WA 98203 <br />I NxoNF 4258942050 I PHOTJE 4257897296 � <br />WAT�R SCRVIC� <br />SERVICC SIZE <br />RLMARI:S: <br />.. FR(7NTAGI: j Nn.OFUNITS <br />MO. 1 APPLIG�TION NO <br />NOl'L: A �vater back#low prevention and/or consultation is required regarding cross connection control for irrigation services and <br />services 1" or larger. Cali `I'im Markham at (�425) 257-8833. <br />PLEASE CALL (425} 257-8862 TWO Tp `fttREE WEEIGS PRiOR TO WAN"i'ING WAT�R SERViCB INSTALLI;D. <br />SF.WER PERMCP NO. SP-16548 PERM]T TYPL /�j,'T[;jZfi�Y�1�N I LID NO. ;51 r'—'; <br />REMARKS: Ylease Nnte: The City is responsible £or structural defects in the side sewer on the City ROW side per �NIC 14.08.2G0 ; <br />TNSPI:CTED BY: �,,..0(,/i %.. �-�." DA'CE: �!��Z`'F �71. �.y r=i <br />4 <br />r� �,�a <br />Notify the Public Works ]nspector 25) 257-8810 24 hours in advance to schedule an inspection, n—' �.m+ �`' _� <br />r,�-; ���': � -e.i <br />lt is the applieant's respansibility ta iFisure adeqaate protectioo against sewer backtiow if the stnteturc is located in the ec>m6ined,sanitary/storrri�sc�vei�s <br />.�. <br />system. �-•= ':�_� <br />FEES <br />S�wer Utility Pee 30.00 <br />TOTAI. F�CS $30.00 <br />Permits expire if �vork is noi commenced within 180 days or ceases for more than 1 SQ days. <br />PERMIT NUMBER U1603-002 <br />Applican[ Copy <br />