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UTILITIES CITY OF EVERETT <br /> 0000.. <br /> PERMIT. SER VICE :r <br /> PERMIT <br /> 3200-CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER 1J15Q8-Q62 DATE:= 8/26/2015 <br /> JOB ADI)RESS 2109 VIRGINIA AVE LEGAL DESCRIPTION <br /> DESCRIPTION INSTALL BACKWATER VALVE APN 00401544300500 <br />` OWNER MCQUINES TERM TENANT <br /> 2109 VIRGINIA. CONTRACTOR CAMPBELL'S PLUMBING INC " <br /> EVERETT WA 98201 <br /> P.O.BOX 5541 <br /> EVERETT WA 98205 <br /> PHONE <br /> PHONE 4252593898 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTA,9E NO OF UNITS SERVICE ORDER NO. - . -APPLICATION NO <br /> 0.00 I <br /> SETTER INSTAILATIONDATE - 'BY - - <br /> METER NO. 'SIZE -:k1 BACKFLOW DEVICE SERIAL NO. <br /> R.P.NO -42 BACKFLOWDEVICE SERIAL NO. <br /> BRAy4D MODEL NO, . - . <br /> .METER ISTAI LATIONPATE. BY <br /> WATER ON__()FP_ LOCKED OUT BY - . : TSG c-.) <br /> REMARKS 4 .l t"-rcr-{ _ <br /> t�CJ <br /> ref cTo <br /> SEWER SERVICE <br /> ,. <br /> PERMIT NO. 5 SP-1629PERMIT TYPE ALTERATION ,LIDNO I - <br /> J 9J <br /> REMARKS: Please Note:Th'e City is responsible for structural defects in the side sewer on the City ROW side per EMM)1.gy8.7.60 <br /> INSPECTED EY C t <br /> r <br /> - I DATE' / — .........f g/ <br /> Sewer Utility Fee . $30.00 ' <br /> TOTAL FEES $30.00'' ' <br /> PERMIT NUMBER U1508-062 <br /> ADDRESS COPY <br /> 1 e <br />