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UTILITIE S <br />Ev� �.�n' PERMIT <br />PERMITNUMBER U1606-001 <br />JOB ADDRF,SS jOl TAMARACK AVE <br />�FsctziNnoN SIDE SEWER RF,PAIR & INSTALL CLF,AN OU[' <br />owNi�:R WALKLF_•,Y JON D <br />301 TAMARACK AVE <br />EVGRETT WA 98203 <br />PHONE <br />RE�IARKS: <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT; WA 98201 <br />(425) 2�7-8810 <br />�A"r�: 6/ 1 /2016 <br />�.�:cai, rn:sciz: BEVERLY HILLS DN 6 BLK 000 D-00 - <br />^�'N 00393400007100 <br />II:NANT <br />coN�rknc�rok pWNER <br />Pf I()N1 <br />WATER SERVICE <br />SERVICE SIZ.E � SER�'ICE �I'1'PE � FROVT�\(;E I �'O. OF Liry'�TS � SERVICE ORDER \'O. � APPLICATIO� �'O. <br />NOTE: A water backflow prevention and/or consultation is rcquired re�arding cross connection control for irrigation services and <br />services 1" or larger. Call Tim Markham at (�12�) 257-8833. <br />PI,F,ASF CALL (42�) 2�7-8863 TWO "I�O "I�HREE W�EKS PRIOR "I�O WAN'1'ING WA�I�L;I2 SERVIC�; INS"I�ALLED. <br />SEWER SERVICE <br />If you have a sewer blockage outside your home, call Puget Sound Energy first at 1-888-225-5773 to prevent cross bore danger. <br />S�WLR PC?RMI'I' NO. 5P-16672 PFRMI"I TYPI{ /��, I�E�RA I�I�N I LID NO. <br />REMnRKS: p�ease Note: The (�ity is responsiblc for structural defects in thc sidc sewcr on the City ROW side per E��IC 14.08.260 <br />WSPECTED BY: <br />DATE: <br />Notify the Public Works Inspector (42�) 2�7-8810 24 hours in advance to schedule an inspection. <br />It is the applicant's responsibility to insure adequate protection against sewer backflow iti the structure is located in the combined sanitary/storm sewer <br />system. <br />FEES <br />Sewer Utility Pee <br />TOTAL l�'EES <br />30.00 <br />$30.00 <br />�lLE <br />Ycrmits cxpirc il�work is not commenced within l80 days or ceases for more than 180 days. <br />PCRMIT NUMBER U1606-001 <br />Applicant Copy <br />