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UTILITIES. <br /> CITY OF EVERETT. <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET . <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER: U1505-129 DATE: 5/29/2015 <br /> JOB ADDRESS LEGAL DESCR . <br /> 2030 ROCKEFELLER AVE_ <br /> DESCRIPTION INSTALL BACKWATER VALVE _ APN:. 00437042301701 <br /> owNER 1-1/WG BLAKE TENANT <br /> PO BOX.13192 coNTRACTOR AMERICAN SEPTIC&:SIDE SWR LLC <br /> EVERETT WA 98206 <br /> 2606 LARLIN DR <br /> EVERETT WA 98203 3: <br /> PHONE 4253190413. PHONE. 4257897296 <br /> WATER SERVICE 1 <br /> -SERVICE SIZE SERVICE TYPE' _ FRONTAGE 1 NO.OF UNITS SERVICE ORDER NO. I APPLICATION NO. ' <br /> REMARKS: .. . <br /> NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services and <br /> services 1"or larger. Call Tim Markham at(425)257-8833. <br /> PLEASE CALL(425)257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. <br /> SEWER SERVICE !1 G i I <br /> mac <br /> SEWER PERMIT NO. . .SP-161.03 PERMIT TYPE .LID NO. *=i M "1:-.„1 <br /> REMARKS Please Note:The City is responsible for structural defects in the side sewer on.the City ROW.side per EMC 14.08.260 7,, <br /> ITR Cfl <br /> Ij'`Z <br /> rU <br /> ti <br /> DATE: 4.7'�.7_ 3-4 <br /> INSPECTED BY. r' �( � !` fy ...-,:+ <br /> Notify the Public Works Inspector(42- 257-881024 hours in advance to schedule an inspection. P C3 P c' <br /> ~` <br /> a 08 <br /> c"t7cx, <br /> It is the applicant's responsibility to insure adequateprotection against sewer backflow if the structure is located in the combined sanitary/stotitTl v? <br /> system. <br /> FEES E <br /> Sewer Utility Fee 30.00 I <br /> TOTAL FEES $30.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days.. • <br /> IPERMIT NUMBER U1505-129 <br /> Applicant Copy <br /> 3 <br />