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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1607-034 DATE: <br /> JOB ADDRESS 1432 MAPLE ST LEGAL nsscR: EVERETT DIV T PLAT OF SLK 280 D-0: <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00438728000302 <br /> OWNER METCALF ROBERT&MARIANNE TENANT <br /> 4625 210TH E ST CONTRACTOR AMERICAN SEPTIC&SIDE SWR LLC <br /> SPANAWAY WA 98387 <br /> 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> PHONE PHONE 4257897296 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.or UNITS SERVI[�oROER NO, APPUCKnON NO. <br /> REMARKS- <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 /> SEWER SERVICE <br /> SEWER PERMIT ND. SP-I6751 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 EMC 14.08.260 w$ <br /> r... FIR <br /> I <br /> JJ rte.' <br /> oI <br /> INSPECTED BY: ✓� . t �-a i <br /> DATE: <br /> I - <br /> Notify the Public Works Inspector(425)257-88I0 24 hours in advance to schedule an inspection. ,to <br /> It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/stormiswer <br /> system. <br /> FEES <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 U1607-034 <br /> Applicant Copy <br />