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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> 1 E11VII1 3200 CEDAR$TREET <br /> EVERETT,WA 98201 <br /> (425)257-881.0 <br /> PERMIT NUMBER'" 1J1511-Q39 DATE:` 11/24/2015 <br /> JOE ADDRESS 2311 19TH ST LEGAL DESCRIPTION 9 FT 3 IN QF LOT 19 <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00438436101702 <br /> OWNER KQURETCHIAN SAMAN TENANT <br /> 2311 19TH ST CONTRACTOR <br /> EVERETT WA 98201 AMERICAN SEPTIC&SIDE SWR LLC <br /> 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> PHONE 4259415310 <br /> rxorlE 4257897296 <br /> WATER SERVICE ' I <br /> SERVICESIZE SERVICE TYPE FRONTAGE - NO OF UNITS SERVICE ORDEe-NO. APPLICATIONNO. <br /> 0.00 I I <br /> SETT ER INSTALLATION DATE BY <br /> METER NO:: - .SIZE :III BACKFLOW DEVICE SERIAL NO. <br /> -#2 BACKFLOW DEVICE SERIAL NO. <br /> �ERA-ND MODEL-NO: <br /> METER ISTALLATION DATE BY, ' <br /> WATER ON_ OFF_ LOCKED OUT BY TSG 7- . Cam') + <br /> REMARKS - -- 4 JI"'.'�. <br /> Via' cn <br /> I SEWER SERVICE 1n L <br /> rLa <br /> PERMIT NO, - SP-16437 PERMIT TYPE ALTERATION _ ,LID NO. <br /> .. - .. - . <br /> LPI: - <br /> REMARKS: Please Note:The City is responsible for structural defects in three side sewer on the City ROW side per EMC 14.08221E �,� <br /> «vim " C C C���1 8 <br /> `INSPECTED BY ` <br /> � ' FEES <br /> Sewer Utility Fee $30.00 <br /> TOTAL FEES $30.00 <br /> IPERMIT.NUIV,IBER U1$11-039 I <br /> ADDRESS COPY <br />