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CTmY OF EVERETT <br /> U _ILI <br /> TIES <br /> //11P.... .- . PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-114 DATE: 5 '- 1 2 --1 S <br /> JOB ADDRESS 4427 RUCKER AVE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER FOR NEW DETACHED GARAGE APN: 00407800501300 <br /> OWNER BEASLEY WILLIAM D III&MELO TENANT <br /> 4427 RUCKER AVE CONTRACTOR C WEST CONSTRUCTION <br /> • EVERETT WA 98203 11207 45TH AVE NE <br /> MARYSVILLE WA 98271 <br /> PHONE <br /> PHONE 3606537833 <br /> I WATER 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 ill BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. ill BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> XI <br /> WATER ON OFF_ LOCKED OUT BY TSG r- I• r{C) <br /> .F-` F...`1--`I-- I--'.h-'•h+I---F-'` I3: 'do' <br /> - I <br /> REMARKS: -1 C+'l 1'i'-7-_,T:-5*i:co'-+-.-7.1. _-_i <br /> 4�r-mr-r—mr-- C <br /> S f-+ C�Cr)y• <br /> .CD C- GI <br /> irz-) LI <br /> 6_J L�> I <br /> SEWER SERVICE ..C-.2 m cD I I <br /> I--S r" <br /> PERMIT NO. <br /> O SP-15953 PERMIT TYPE ALTERATION I LID NO. I <br /> i' - I <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer o he, ity 11�OW side per1EMC 14.08.260 .d:, MI <br /> _s-. .EA,+L*l.6 s t-P.%K.I.C-T1 •EI:I.#c+.st'�-C.. <br /> r.J° Lel c>r•._rJ r•.J C)rf-.}-R-L•-LIF-• <br /> --J Cl....jC>L•�C>C�L>-1.^-.L-•''.=>F-`L�'1 I- <br /> • ` F-'. <br /> .-r.Cri I-C>._y C> C_T'C>r•..`>c> C. <br /> _ I'J <br /> LT) ca C>FJ Ca•.[)r,_> ), >c >i..n CD LTl I-. <br /> �/� --4 L•!1.--. <br /> INSPECTED BY: i I DATE: /'7 — /� ,�r.� <br /> 7 � � G <br /> FEES I <br /> Sewer Utility Fee $30.00 <br /> \ s\tb <br /> TO POSTING <br /> TOTAL FEES $30.00 • <br /> IPERMIT NUMBER U1504-114 I <br /> ADDRESS COPY <br /> L- - - - - - - ---------- <br />