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4009 GRAND AVE 2017-01-13
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4009 GRAND AVE 2017-01-13
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Last modified
1/13/2017 11:29:14 PM
Creation date
1/12/2017 11:00:50 AM
Metadata
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Template:
Address Document
Street Name
GRAND AVE
Street Number
4009
Notes
BACKWATER VALVE
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UTILITIE S <br />PERMIT <br />PE1tMIT 1!'UMBER U1609-045 <br />JOA AD�RESS 4�09 GRAND AVE SE <br />D�scxr�Tior� INS'1'ALL BACKWATER VALVE <br />o'�`�R NGUYEN KAHANH <br />4009 GRAND AVE SE <br />EVEKETT WA 98201 <br />CITY 4F EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STI2EET <br />EVERETT, WA 98201 <br />{425} 257-8830 <br />DATE: <br />Lsca� Desca: SMYTH LAND CO S 2ND ADD BLK 003 <br />A�'N 005788003000Q4 <br />TENAN'I' <br />CON7RAC7'OR AMERICAN S�PTIC & SIDE SWR LLC <br />2606 LARLIN DR <br />�VEItETT WA 98203 <br />�PxoNE 2532172996 � �H��E 425789729G I <br />WATER S�RVICE <br />SIZE <br />REMARKS: <br />TYPE � � FROMAGC � [.O. �F UN1TS <br />URDERI.O. � APPLICATIOt�NO. <br />NOTE: A water backflow prevention and/or consultation is required regarding cross conneetion control for irrigation serviees and <br />services 1" or larger. Call Tim Markham at (425) 257-8833. <br />PLEASE CALL {425� 257-8862 TWO TO THREE WE�1�5 PRIOR T'O WANTING WATER SERVICE INSTALLED. <br />_., . <br />c�.7- rs� <br />—�.1 ��''1`_ <br />SEWERPERMlTNO. SP-16H8% I'ERMiI'1'YPE AT.TCRATION f L1DN0. �� �� T: • <br />IZEMARKS: please Notr. The City is responsi6le for structural defects in the side sewer on the City ROW side per EMC 14.08.2G0 <br />1NSPECTF,U BY: <br />DATG: <br />7n �a <br />G) I � <br />I [—` <br />f--` '.Ci <br />r:a <br />c� <br />��. <br />c'�;='���.' � <br />Notify the Public Works Inspeccor (425} -8810 24 hours in advance to schedule an inspection. �a �a C� � c� ��;� <br />_r � c> �-n <br />It is the applicant's responsibiliYy to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm ��i�✓&i`'' <br />I_. k-Tl <br />S}'S[EFR. <br />SCW ER UTILITY FEE 30.00 <br />TOTAL FE�S $30.00 <br />Permits expire iFwork is not commenced withic� l80 days or ceases for more than 180 days. <br />PERMIT NUMBER U1609-045 <br />Applicant Copy <br />
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