Laserfiche WebLink
t <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 ] <br /> (425)25 7-8810 s <br /> PERMIT NUMBER U1607-001 DATE: ' <br /> JOB ADDRESS 3919 FEDERAL AVE LEGAL DEscR: FEDERAL HEIGHTS ADD BLK 000 D-00 3 <br /> 1 <br /> DESCRIPTIONINSTALL BACKWATER VALVE APN: 00443900001400 <br /> t <br /> t <br /> OWNER LACEY JAMES T TENANT <br /> PO.BOX 4 CONTRACTOR AMERICAN SEPTIC&SIDE SWR LLC <br /> EVERETT WA 98206-0004 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> I <br /> PHONE PHONE 4257897296 <br /> i <br /> WATER SERVICE <br /> i <br /> 1 <br /> SERVICESI7.E SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE OROFP.NO. APPLICATION NO. 2 <br /> I <br /> REMARKS: <br /> 3 <br /> NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services and <br /> services P 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 /> SEWER SERVICE <br /> a„ ' <br /> SEWER PERMIT NO. PERMIT TYPE ALTERATION LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per E-NIC 14.08.260 <br /> INSPECTED BY: G` �e ��- DATE: <br /> >I 'J r-`• <br /> Notify the Public Works Inspector(49 257-8810 24 hours in advance to schedule an inspection. _ <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm sewer <br /> system. _Y I <br /> FEES <br /> SEWER UTILITY FEE 30.00 j <br /> i <br /> a <br /> s <br /> 1 <br /> TOTAL FEES $30.00 <br /> 't <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> t <br /> PERMIT NUMBER U1607-001 <br /> i <br /> Applicant Copy € <br /> i <br /> 3 <br /> e <br /> S <br />