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• ' �T g T ��� i �� �a V � �� <br /> U�1�����'e� <br /> r �`r l� ��� V ���5 <br /> � 1'E IT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (42�)257-8810 <br /> PERMITNUMBEI2 CT1b07-014 DATE: ']/$/2O1( <br /> JOB ADDRESS 6502 EVERGREEN WAY LEG�-DEscR: gEVERLY HILLS DIV 3 BLK 000 D-00-: <br /> �EscxrPTiorr CAP SEWER DUE TO DEMO �'N 00393000001500 <br /> OWNER JT MADISON TENANT <br /> PO BOX 31609 CONTRACTOR OLYMPIC GENERAL CONTRS LLC <br /> SEATTL� WA 98203 2110 MADISON ST <br /> EVERETT WA 98203 <br /> �xoNL 2066195555 PH�� 4253170851 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPB FRONTAGE NO.OF UMTS SEAVICE ORDER NO. APPLICATION NO. <br /> REMARKS: <br /> NOTE: A water backflow prevention and/or consultation is required regarding cross connection control for irrigation services. <br /> Contact Tim Markham at(425)257-8833 or by email at tmarkham@everettwa.gov. <br /> TO SCHEDULE CITY WATER CONNECTION CALL(42�257-8827�4 WEEKS IN ADVANCE.IF METER ONLY INSTALL CALL(42�257-8841 <br /> SEWER SERVICE <br /> If you have a sewer blockage outside your home,call Puget Sound Energy first at 1-888-225-5773 to prevent cross bore danger. <br /> S�WER PERMIT NO. SP-16737 PERMIT TYPE CAP OFP LID NO. <br /> ���5 Plcase Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: DATE: <br /> Notify the Yublic 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 /> FEES <br /> SEWER UTILITY FEE 10.00 <br /> ! <br /> TOTAL FEES $10.00 , <br /> , <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NUM�ER U1607-014 <br /> Applicant Copy <br />