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' :C''.I. T- -Y. F EVERETT
<br /> FF^^ f4.','',_."-'4..;
<br /> { UT)-:'..:r... ILITIES
<br /> { 'PERMIT SE..,_-_ _,-:-'1-.RVICE
<br /> Si,;.'m'::z,fr-.:.-•;•.:-
<br /> PERMIT
<br /> •
<br /> : 3200 CEDAR STREET ,
<br /> ..,_. -._ . . EVERETT,WA 98201
<br /> . "(425)25,.7-8810
<br /> PERMIT NUMBER U1806 025 DA•TE
<br /> JOB ADDRESS ' 4715 FOWLER AVE • • LEGAL DESCRIPTION
<br /> DESCRIP ION INSTALL•BACKWATER VALUE `_ ,_,_.,•,_±„„-„.:„_,,•:, ; -7:,:.:6,:i7i-,-,_,''___•••_- ,-._,,-•,---,,-,•,,.._-:-„_,,-.:._,,•,...::____,,,,•.,,,::,::,i:
<br /> OWNER REEF JEFF E
<br /> 47.15 FOWLER AVE. coNT�2ACToi AA PLUMBING LLC
<br /> BVERETT WA 98203 86;11 VISTA.RAMA4AVE -
<br /> EVERETT WA 98208_
<br /> PRONE
<br /> PHONE 4254890123
<br /> WATER SERVICE '
<br /> .SERVICE SIZE .SERVICE TYPE- -'FRONTAGE: 'NO.OFUNITS SERVICB ORDER _• APPLICNNO -
<br /> . .I 0 00
<br /> SETTER INSTALLATION DATE By:. -
<br /> METER NO. SIZE _ #1'BACKFLOW DEVICE SERIAL NO. L•� \ ' _ , - -
<br /> RF NO.
<br /> #2 BACKFLOW DEVICE SERIAL NO. .• _: , -
<br /> BRAND _ _ MODEL NO. 1
<br /> :.METER ISTALLATION DATE -_ --. BY -
<br /> WATER ON OFF : LOCKED OUT BY' ,TSG
<br /> r
<br /> _ItF[vIARKS'
<br /> ISEWER SERVICE
<br /> PERMIT NO SP-17739 - PERMIT TYPE• ALTERATION LID NO
<br /> BE LARKSc Please Note,The City is responsible for structural defects in r,-.-e side sewe''`).7..'
<br /> on theCity;ROW side per EMC 14 08.260
<br />...:•••_ki':..",i,.... •INSTALL BACKWATER VALVE
<br /> INSPECTED -
<br /> I
<br /> I • FEES
<br /> SERVER UTILITY FEE -. $30:00
<br /> JUN 1 9 '2018
<br /> CITY OF EVERETT
<br /> TOTALEFES $30..00 Permit Services
<br /> Ij PERMIT NUMBER U1806-025
<br /> ADDRESS COPY .
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