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UTILITYES CITY �F EVERETT <br /> FERMIT SERVICES <br /> �`T PERMIT <br /> 3200 CEDAR STR�E'I' <br /> LVt�;RBTT,WA 98201 <br /> (425)257-8&10 - <br /> PGRM[TNUMBER U]b04-014 DATE: <br /> JOk3 ADDRESS 2T 1�LOMBARb AVE L�cALnEscx; E���gTT PLAT OF BLK 439 D-00-LO7 <br /> DESCR(Pl'ION INSTALL BACKWATER VALVB ^�'N OQ4391439Q08Q0 <br /> UWNER YATES MIKE&MICHELLE TFNtiNT <br /> 2$17 LOMBAR➢ CON'IRACTQR SEWER DETBCTIVES <br /> EVEAETT WA 98201 <br /> 215 I STH 5T <br /> SNONpMISH WA 9829Q <br /> PklONE PHONF; <br /> azs9z34�s� <br /> WAT�R S�RVICG <br /> SF.RVI['ESILE S�ftVICP.1'1'f'� )�p�'pGE \'O.OFUNIY$ SLkYfC80Rll1:11�0. �ppLICA77DN\O. <br /> PEAIARKS�� <br /> NnTE: A water backtlow prevention and/oc consultation is required regu•ding cross cannection controf for in•igadon scrvicc;s and <br /> services 1"or largcr. Cail Tim Mark}�am at(425)257-8833. <br /> PLEASF CALC.(425)257-8862 TWO TQ T!-1REE W�EKS PRIQk'1�0 WANTING WAT�R SE3tVICE INS7'ALLED. <br /> SEWLR SLRVIC� � � ci <br /> �—, . <br /> _� n <br /> ��)�=`ni <br /> SEWERP�RMITNO. SF-I6�i27 PERMITTYPE AL�1'ERA"1��QN L1DN0. I.�T—�,a �;� iJz� <br /> RE�v1AAICS: -�'� <br /> Ylease\otC:'T'he City is r•esponsible for structural dcfects in the side se�ver an the City ROA�S1l�C(1CY���IC lq,68.264 {=.' ;�- �a <br /> .s:, r��.�:� <br /> c� r <br /> i �> <br /> r-� ;� <br /> f <br /> r,.� <br /> �.+ <br /> '�} �n-, <br /> s <br /> 1NSPF.C'i ED BY: DATF: 4''�„7 r� <br /> •t�r �c Fr <br /> I�'otify the Public R'orks Inspector(h25)257-8810 241iours in advance to schedula an inspection. °��°`� " <br /> +d �-> �r� <br /> �im,? <br /> � c� iV'�t7��•J <br /> it is the applicanYs responsibility to insure adequatc pi•otection againsl sewer backPlow if the structure is locatcd in the combined sanita�y/storm�E�wcr <br /> system. ���,, <br /> FEES <br /> Sewer Utili(y Fee 30.00 <br /> TOTAL FECS $30.00 <br /> Permits expire if wo'rk is not commenced tvithin 18Q days or ceases for more than ]80 days. <br /> PERNIfT NUMB�R vr�og-oi� <br /> Applicant Copy <br />