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2 <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERMIT SERVICES <br /> E ETT PERMIT 3200 CEDAR STREET <br /> EVERE"IT,WA 98201 <br /> (425)257-8810 <br /> PERMITNUMBER U1602-049 DATE: ; <br /> JOB ADDRESS2201 MCDOUGALL AVE LEGAL.DFSCR: CAPITOL HILL ADD BLK 473 D-02-W' <br /> DESCRIP'T'ION ' <br /> INSTALL BACKWATER VALVE APN: 00401547300102 <br /> OWNER WAGNER VICTOR TENANT <br /> 2201 MCDOUGALL CONTRACTOR AMERICAN SEPTIC&SIDE SWR LLC <br /> EVERETT WA 98201 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> i <br /> PRONE PHONE 4257897296 <br /> 3 <br /> 3 <br /> A <br /> 1 <br /> WATER SERVICE <br /> x <br /> a <br /> SERVICESI7L" SL'RVICE TYPE FRONTAGE NO.Or USIrS SERVICE ORDER NO. APPLICATION NO. <br /> REMARKS: <br /> P <br /> E <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 /> F <br /> PLEASE CALL(425)257-8862 TWO TO THREE WEEKS PRIOR TO WANTING WATER SERVICE INSTALLED. F <br /> SEWER SERVICE 1 CH 1 <br /> SEWER PERMIT NO. SP-16544 PERMIT TYPE ALTERATION LID NO. <br /> y <br /> f':T <br /> REMARKS: Please Note:The City is responsible 1'nr structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> 1 r_? <br /> :_a a <br /> INSPECTED BY: 41nspector( <br /> DATE;Notify thePublic Wor8810 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/stonm9rwet-T T <br /> r—, <br /> system. <br /> ( <br /> FEES t <br /> 1 <br /> a <br /> f <br /> Sewer Utility fee 30.00 <br /> s <br /> a <br /> 3 <br /> 3 <br /> TOTAL FEES $30.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NUMBER U1602-049 1 <br /> Applicant Copy 3 <br />