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I ILITIES ( FY OF EVERETT <br /> ,IPfrz%/-_ ,-4 PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> rrII EVERETT,WA 98201 <br /> DATE (425)257-8810 <br /> l� <br /> PERMIT NUMBER U1810-0218 OCT 2018 <br /> JOB ADDRESS 2014 GRAND AVE LEGAL DESCRIPTION <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00437437204600 <br /> OWNER SULLIVAN RICHARD J TENANT <br /> 1928 RUCKER AVE CONTRACTOR CAMPBELL'S QUALITY PLUMBING <br /> EVERETT WA <br /> 6716 49th St NE <br /> MARYSVILLE WA 98270 <br /> PHONE <br /> PHONE 4258760070 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO._ _ SIZE 81 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. _ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> fT'7d r�'1 <br /> WATER ON OFF LOCKED OUT BY =7 ,, t...') <br /> TSG r--' F-ti I� <br /> i <br /> REMARKS: ah-^—i L! <br /> ISEWER SERVICE .--1)K 1 <br /> PERMNO. <br /> SP-17847 PERMIT TYPE ALTERATION I LID NO. F ES) <br /> R <br /> E.".7 <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.05.2 '11 'i - <br /> INSTALL BACKWATER VALVE o='t"� =' <<-, <br /> e.0 8 --Z3 <br /> C,.:, <br /> 1:::7 r,.J C-T7 <br /> [.J1 <br /> CX) <br /> INSPECTED BY: I DATE _ ...... <br /> IFEES I <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30:00 <br /> IPERMIT NUMBER U1810-021 I <br /> ADDRESS COPY <br />