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UTILITIES <br />PERI/IIT <br />�Ol�D 7!S <br />PERMITNUMBER U1206-011 <br />JOB ADDRESS 4601 S 3RD AVE <br />DESCRIPTION I" COMPLETE SERVICE <br />oWNFR EVERETT CITY OF <br />3002 WETMORE AVE <br />EVERETT WA 98201 <br />PHONE <br />CITY OF EVERETT <br />PERMIT SERVICES <br />DATE. <br />LEGAL DESCR <br />APN <br />TENANT <br />CONTRACTOR <br />PHONE <br />3200 CEDAR STREET <br />EVERETT. WA 98201 <br />(425) 257.8810 <br />6/13/2012 <br />29053200300200 <br />SE0.\10E 512E Sknv¢eivc --- - <br />I^ COIN SO-13144 APP-18146 <br />q[MIR\$ <br />NOTE: A water backflow prevention andlor consultation is required regarding cross connection control for irrigation services and <br />servir:s I" or larger. Call Tim Markham at (425) 257.8833. —jS � 711LIc (c <br />PLEASE CALL (425) 257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED <br />SEWER PERMIT 140 <br />PERMIT TYPE NEW CONNECTION I UDNO <br />REMARKS <br />DATE" <br />INSPECTED BY, <br />Notify the Public Works Inspector (425) 257-8810 24 hours in advance to schedule an inspection. <br />It is the applicant's responsibility to insure adequate protection against sewer backflow if the structure is located in the combined sanitary/storm sewer <br />system. <br />Water Unhty Fee 1,800.00 <br />JUN i 3 2012 I�I� <br />TOTAL FEES $1,800.00 <br />Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br />PERiVIITNUMBER U1206-011 <br />AprihW l COPY <br />