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UTILITIES <br /> CITY OF EVERETT <br /> ,, PERMIT SERVICES <br /> 1ERMI 3200 CEDAR STREET <br /> EVERETT;WA 98201 <br /> (425)`2578810 <br /> PERMIT NUMBER U1506-068 DATE: Lp t S 1 S <br /> JOB ADDRESS e • — --— l LEGAL DESCRIPTION <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00439161000100 <br /> OWNER JONES JEREMY TENANT <br /> 3633 16 7TH PL S'W CONTRACTOR CJ's PLUMBING&SERVICE LLC <br /> LYNNWOOD WA 5528 218TH AVE NE <br /> GRANITE FALLS WA 98252 <br /> PHONE 4255311257 <br /> PHONE 3606915159 <br /> • WATER SERVICE <br /> SERVICE SIZE - - SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 0..00 I I <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE II BACKFLOW DEVICE SERIAL NO. - <br /> I #2 BACKFLOW DEVICE SERIAL NO <br /> BRAND MODEL NO.'- • <br /> METER ISTALLATION DATE, - BY <br /> WATER ON OFF_.LOCKEDOUT BY TSG <br /> REMARKS: - - - - <br /> - <br /> SEWER SERVICE <br /> PERMIT NO SP-1615 8 PERMIT TYPE LID NO <br /> REMARKS: Please Note:The City is responsible for structural.defects'in:the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: ��� __ - I DATE' 6 r:3 <br /> FEES <br /> Sewer Utility Fee $30.00 .r; V <br /> q. lIv11 i <br /> JUN 1 5 2015 <br /> ,..'..,'"--,..'Y . ,. vi-..., , 11— <br /> 1T <br /> TOTAL FEES $30.00 ' errn2+ -t:i°Vices- <br /> PERMIT NUMBER U1506-068 I <br /> PUBLIC WORKS COPY <br />