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UTILITIES CITY ®F' EVERETT <br /> PERMIT SERVICES <br /> PERMIT, <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> s <br /> (425)257-8810 <br /> PERMIT NUMBER U1607-016 <br /> DATE: 3 <br /> JOB ADDRESS <br /> 2813 24TH ST LEGALDESCR: OHIO ADD BLK 001 D-02—W 50 FT OF I <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00534800101502 <br /> S <br /> 6 <br /> OWNER CHESTER JOEDEN H F TENANT I <br /> 2813 24TH ST <br /> EVERETT WA 98201-3215 CONTRACTOR AMERICAN SEPTIC&SIDE SWR LLC <br /> 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> PHONE PHONE <br /> 4257897296 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE i, <br /> FRONTAGE NO.OF UNITS SPRVICE ORDER N0. APPLICATION NO. j <br /> REMARKS- <br /> NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services and <br /> services 1"or larger. Call Tim Markham at(425)257-8833. 1 <br /> a <br /> PLEASE CALL(425)257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br /> 3 <br /> SEWER SERVICE r� a <br /> • i <br /> r.,r iT <br /> SEWER PERMIT NO, SP-16739 PERMIT TYPE ALTERATION LID NO. 'j'5 -1. <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 <br /> I I� <br /> 3 <br /> r�;a <br /> &i <br /> [INSPECTED <br /> iI 3 <br /> a® BATE <br /> Notify the Public Works Inspector)25)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 svyer <br /> system, o `r <br /> FEES <br /> SEWER UTILITY FEE 30.00 <br /> r <br /> i <br /> 's <br /> TOTAL FEES $30.00 <br /> i <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. } <br /> PERMIT NUMBgR U1607-016 } <br /> n <br /> Applicant Copy I <br /> } <br />