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UTILITIE S <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3aoo cr,i�n� s�ruEET <br />EVERF.TT. WA 98201 <br />(425) 2�7-8810 <br />PERMIT NUMBER U1512-003 �ATE� 12/8/ 15 <br />�o� n�Ua�ss 918 COI,I3Y AVE LEc��i, nFscR: gAIL S ADD TO GVGRETT BLK 175 L <br />oFscizu>�rioN C�INCELLL;D-INSTALL BACKWATF,R VALVE AnN 00385417502400 <br />owNi;tt ANDERSON JESSF Trrr�N�r <br />918 COLBY AVE <br />EVERETT WA 98201-1318 coN�r�inc�roiz S[DE-SEWER <br />PO BOX 137 <br />MUKILTEO WA 98275 <br />NHONi�: P11�N � 4257723400 <br />5[RVICESIZE � 5[:RVICf�.TYP� I FROV'I:\Gf�: <br />REh1.4RKS: <br />OF UNI'I'S I SERVICE OR�ER NO. � APPLICATION NO. <br />NOTE: A water backflow prevention and/or consultation is required gardinQ ross connection control for inigation services and <br />services 1" or larger. Call Tim Markham at (42�) 2�7-8833. <br />PLLASI; CALL (425) 257-8862'1'WO "I'O THREE WEEKS [ TO TING WATER SERVICE INSTALLED. <br />� SE R SERVICE <br />SI[WI[RPL�:RMl��NO. SP-1�44� PER fl"I'Y ? ALTERl��I�InI� LIDNO. <br />Rl[MA[ZKS: p�ease NoCe: The City is responsiblc�for s ctu defects in the side sewcr on the City ROW side per EMC 1d.08.3G0 <br />W SPGC'I LD [3Y: r DATE: <br />Notify the Public Works Inspector (4 2�7-8810 4 ours in advance to schedule an inspection. <br />It is the applicant's responsibility to ins ? adequ protection against se�ver backflow if the structure is located in the eombined sanitary/storm sewer <br />system. <br />Scwer Utility Fee <br />30.00 <br />TOT:U. 1� 1? I�:S �30.00 <br />Pcrmits cx -c it�work is nol commenced within 180 days or ceases for more than 180 days. <br />PGRMIT NUMBER U1512-003 <br />Appficant Copy <br />