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UTILITIE'':l'::'-..'T':-:'.,i'gi::'.'P-'5'''/''4k''' '''2-Mt7-,,,,,,,. ._/w.'''''' ittgli:i.--'-'''''''';.:1---.;:.:':::'-'''''''.--. S CITY OF EVERETT <br /> PERMIT SERVICES .4." <br /> -. <br /> PERMIT - <br /> - : ;3200 CEDAR S.,TREET..- <br /> EVERETT,WA 98201 <br /> (425)25;7 8810 <br /> -PERMIT_NUMBER U1604-034 DATE: <br /> JOB ADDRESS 1308 RUCKER AVE LEGAL nE5CRIPTrorr`` EVERETT DW'R PLAT OF BI K•243 <br /> DESCRIPTION INSTALL BACKWATER VALVE • APN: 00438524302900'' <br /> OWNER ` ALDER SANDRA J TENA T <br /> 2813 ROCKEFELLER AVE •• .' <br /> EVERETT: WA "98201-3524 coNTiiAczoR AA PLUMBING LLC - <br /> 8611 VISTARAMA AVE', <br /> EV <br /> ERETT WA 98208 <br /> PHONE <br /> PHONE.' <br /> IWATER SIERVICE. I <br /> SERVICE SIZE SERVICE TYPE - ...FRONTAGE '--NG:GRUNGE ,SERVICE-ORDER NO.- APPLICATION NO <br /> 0.00 <br /> SEI INRINSTALLATIONDAT'E- - BY:-: - _ - <br /> I;IETF.RNO _ SIZE _ -I 1I1 BACKFLOW DEVICESERIAL*) - = <br /> R.F NO" _ 112 BACKFLOWDEVICE SER1ALNO - <br /> BID+ - MODEL NO: - <br /> METER ISTALLATION DATE- BY - <br /> WATERON_ OFF :LOCKED OUT .BY -!'�"1 <br /> REMARKS: - -_ <br /> i <br /> I' ' I"I <br /> ` . , SEWER�SERVIEIE'; c-� <br /> ,-,!..7r7•1'.1-9• , S'P-16.642 ",•:.,•-••,-.--1.74, 47,-,.',17.,-•--.-,.,,.:•,•:; ALTERATION :I.-LIDNO }'Y..-7.-,..---:-• _.I,. I <br /> REMARKS . Please Note The City is responsible for-structural defects►n the.:side sewer on the:C'ityBOW side•per EMC 1.4 0§-01:' '� <br /> ..,,r <br /> p .C7 <br /> r.. <br /> INSPECTEDBY. I"'`"�'' <br /> I 'DATB <br /> TIEES _ l <br /> Sewe ,Utility Fee $30:00. <br /> TOTAL FEES $30 00 <br /> PERMIT NUMBER U160 034 <br /> T4 P�STlNG:. <br /> �Z/� ADDRESS COPY <br />