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CITY OF EVERETT <br /> UTILITIES a <br /> i <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1606-029 DATE: 1 <br /> JOB ADDRESS 931 COLBY AVE LEGAL DESCR: BAILEYS ADD TO EVERETT BLK 176 E <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00385417601500 <br /> OWNER LYON MICHAEL&KATIE TENANT l <br /> 931 COLBY AVE CONTRACTOR <br /> AMERICAN SEPTIC&SIDE SWR LLC <br /> EVERETT WA 98201-1317 <br /> 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> I <br /> I <br /> PHONE PHONE 4257897296 <br /> WATER SERVICE <br /> f <br /> SERVICE SPLE SERVICE TYPE FRONTAGE NO.OFUNITS SERVICE ORDER NO. APPLICATIONNO. ; <br /> R11-MARKS; <br /> NOTE; A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services and <br /> services I"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 /> rri <br /> SEWER SERVICE <br /> rJrri <br /> SEWER PERMIT NO. SP-16697 PERMIT TYPE ALTERATION LID NO; k=3 -•- 1 g <br /> T• S <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 rt c c� <br /> .�. <br /> P <br /> INSPECTED BY: yam._ - DATE: L_ <br /> Notify the Public Works Inspector( )257-8810 24 hours in advance to schedule an inspection. <br /> Itis the applicants responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm s`�'eer <br /> system. <br /> FEES <br /> 1 <br /> I <br /> t. <br /> Sewer Utility Fee 30.00 <br /> TOTAL FEES $30.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. } <br /> PERMIT NUMBER U1606-029 <br /> i <br /> Applicant Copy <br />