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' UTILITIES CITU OF E VERETT <br /> - iPERMIT SERVICES <br /> PERMIT <br /> ;.�tg �a� 3200•CEDAR.STREET <br /> a f..f.. ,,.< EVERETT,,WA 98201 <br /> (425)25.7 8810 <br /> PERMIT NUMBER U1810-016 DATE" Q 9: QCT .2018 <br /> JOB ADDRESS 4020'GRAND AVE LEGAL DESCRIPTION; <br /> DESCRIPTION -.W..-:-..7-TABACKWATER VALVE APN 00596200301.100`.;' . <br /> OWNER DARLING 1 QGER E TENANT <br /> 4020 GRAND AVE <br /> EVERETT- WA_ 98201 CONTACTOR AA•--PLUMING LLC <br /> _ 8611 VLSTQ. _• MAAVE-_: .. <br /> EVERETT: WA. 98208 <br /> PT-IO•NE <br /> ` PHONE-' 4254890123 <br /> WATER SERVICE , <br /> SERVICE SIZE SERVICE TYPE _ PRONTAGE NO.OPUNITS.- SERVICED •N �APPLICATIONNO, <br /> SETTER INSTALLATION DATE BY -- - <br /> c <br /> METER NO. SIZE: - #I BACKFLOW DEVICE,SERIAL NO. - - <br /> ,'RF NO. ;#Z BACKPLOWDEVICE SERIAL NO. - <br /> BRAND :MODEL:NO.._ <br /> METER ISTALLATION DATE BY - <br /> WATERON OFF_:LOCKED OUT BY TSG <br /> • � � . <br /> • .REMARKS: - - - <br /> _ SEWER SERVICE <br /> PERMITNo. SP-17853 - PERMIT TYPE ALTERATION <br /> REMA1.RKS - P1easeNote The City is responsible for'tructural defectsan,the'side sewer on the'City,ROW side per;EMC 14:08.260 <br /> INSTALL BACKWATER VALE . <br /> INSPECTED BY: - I DATE <br /> - FEES <br /> SEWER UTILITY FEE $30:00 <br /> , <br /> OCT 0 9`;2018 <br /> TOTAL FEES $30.00 -CIT Y'__OF E VE TT <br /> _ _ . Permir sera► e ->; <br /> PERMIT NUMBER U1810-016 <br /> ADDRESS COPY <br />