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OF E <br /> r CITYVERETT <br /> UTILL�IES <br /> PERMIT SERVICES <br /> PERMIT <br /> 41 <br /> / : t - - 3200 CEDAR STREET <br /> - _ EVERETT,WA 98201 = <br /> (425)257=8810 <br /> PERMIT NUMBER U1505-030 DATE ` 5/6/2015 <br /> JOB ADDRESS' 712 WETMQRE AVE LEGAL DESCRIPTION <br /> DESCRIPTION INSTALL BACKWATER VALVE APN, 00496813802400 <br /> OWNER GIRAUD JAYCIE TENANT <br /> CONTRI.CTOR; AMERICAN SEPTIC&SIDE SWR LLC <br /> EVERETT WA 98203 <br /> 2606 LARLIN.DR <br /> EVERETT WA 98203 <br /> PHONE <br /> PHONE'' 4257897296 <br /> WATER SERVICE <br /> SERVICE SIZE__ -- SERVICE TYPE.-. FRONTAGE NO OF(RATS SERVICE ORDER NO APPLICATION NO <br /> - <br /> 0.00 I <br /> SETTER INSTALLATION DATE" BY - <br /> METER NO _ - SIZE _ #1 BACKFLOW D VICE Sj:•RIAL NO- <br /> R.F.NO '#2 BACKFLOW DEVICE SERIAL NO <br /> BRAND -MODEL NO ' " <br /> -METER ISTALLATIONDATE..- - BY - - <br /> WATER ON OFF T LOCKED OUT BY TSG <br /> SEWER SERVICE a 1' <br /> - r•4•a <br /> PERMIT NO - SP-I6018 PERMITTYPE I LID NO. , , ,-,n° -. . <br /> REMARKS:- Please Note:The'City is responsible for structural defects in the side sewer on the City ROW side per EMC 43108.20. <br /> E g g.t ca'1 <br /> i00 Woyek - Dayki6 ',. .,-- ,..),.. ' ,:.zrz. ,, <br /> ' ' /-''W4 g417 .- <br /> INSPECTED BYY I <br /> DATE i:rI <br /> FEES ( <br /> 1_ <br /> Sewer Utility Fee $30 00 <br /> TOTAL FEES $30.00. <br /> PERMIT NUMBER UI505 030 <br /> ADDRESS COPY <br />