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U ITIES CITY O� EVERET'I` <br />TIL <br />PERMIT SERVIC]�S <br />PEIZMIT 3��0 �ED� ST�ET <br />EVER�TT, WA 98201 <br />(425} 257-38t0 <br />PERMTT Nl7�IBER U1609-0Q4 <br />�oa n�nxEss 2422 H;e;RRISON AVE <br />UEsc�u�rioN INSTALL BACKWATER VALVE <br />owr'�R HLJLL JOHi�1 W& SANpitA M <br />2422 HARRiSON AVE <br />EVERETT WA 982Q1-3348 <br />DATE: <br />� <br />LEGa.r. DEscR: MITCHELL I.t1Nlll & IMP CO S 1ST AD� <br />APN: 00516853402700 <br />TENANT <br />CONTRACTOR AMERICf1N SEPTIC & SIDE SWR LLC <br />2b06 LARLIN DR <br />EVERETT WA 98203 <br />� YxorrE � Yx�NE 4257897296 � <br />WATER SERVTCE : <br />SERVIC6 SIZE <br />c�:Vsnaxs <br />F7tOMAGE <br />OFUMlTS 5�`nCEOA➢ERNO. A?Pf.ICAl70NN0. <br />SO-13777 APP-13768 <br />NOTE: A water backflow prevention andlor consuitatzon is required regarding cross connection cantrol for irrigation services and <br />services 1" or larger. Call Tim Markham at (42� 257-8833: <br />PLEASE CALL (425} 257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br />ti�; � <br />SEWPR PFRMIT NO. SP-I6H5I PERMTT TYPE L[D NO. - �..-�.i-_'�� i- <br />REMARKS: p{ease Note: The City is responsible for structural dePects in the aidt stwer on the Cify ROW side.per EMC 1�1.08.264 � <br />� r�� <br />�� <br />cr 'i � <br />� c� <br />, � r._� <br />i <br />rva <br />i`'- <br />��•. <br />� �,. .._ DATE: c. - ,� .-� <br />INSPECTED BY: � " <br />Notify the Public Works Inspector (� 5� 257-$8i 0 24 hours in advance to schedule an inspection. ,� "� :�; <br />_, �r � �—� e <br />. . . � - rS C: V�! <br />It is the applicant's respoasibility to insure adequate protection against se�ver backflow if the structure is located in the coznbined sanitary/stotm ��et' <br />system. � •'�' <br />FEES <br />SEWER U"I"II3"I�Y F�E 30.00 <br />TOTAL FEES $30.00 <br />Permits expire if work is not cammenced within 180 days or. ceases for more than 18Q days. <br />PERMTT NUMBER U1609-004 <br />Appticant CoPY <br />