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CITY OF EVERETT <br /> UTILITIES <br /> PERMIT SERVICES 3 <br /> *,err <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1603-001. DATE: <br /> JOB ADDRESS2010 25TH ST LEGAL DESCR: EVERETT PLAT OF BLK 566 D-00-L07 r <br /> DESCRIPTION INSTALL BACKWATER VALVE ^PN 00439156600100 ` <br /> OWNER LARSON ROBERT L TENANT I <br /> i <br /> 2010 25TH ST CONTRACTOR AMERICAN SEPTIC&SIDE SWR LLC i <br /> EVERETT WA 98201 2606 LARLIN DR <br /> a <br /> EVERETT WA 98203 <br /> PHONE 4254226960 PHONE 4257897296 ' <br /> WATER SERVICE <br /> 3 <br /> SERVICE SIZE SERVICE TYPE FRONTAOF. NO.OF UNITS SERVICE ORDER NO. APPLICATION NO S <br /> REMARKS: q; <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 TOTHREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br /> SEWER SERVICE '- _ <br /> 'tet I <br /> =_t_-; ,7 <br /> SEWER PERMIT NO, SP-16547 PERMIT TYPE ALTERATION l..lDNO• . , i- <br /> REMARKS: Please Note:The City is responsible for structvral defects in the side sewer on the City ROW side per ENIC 14.08.260 <br /> I [„f <br /> F �I li <br /> q rn <br /> fNSPECTED BY: C DATE: <br /> Notify the Public Works Inspector(425j 57-8810 24 hours in advance to schedule an inspection, <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow ifthe structure is located in the combined sanitary/storrirs ^uer I <br /> r <br /> System. <br /> FEES <br /> Sewer Utility Fee 30.00 f <br /> i <br /> 3 <br /> . i <br /> z <br /> TOTAL FEES $30.00 z. <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NUMBER U1603-001 <br /> Applicant Copy <br /> k <br /> ' ss <br /> t <br />