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CITY OF EVERETT <br />eu <br />UTILITIES <br />PERMIT <br />PERMIT SERVICES <br />3200CEDAR STREET <br />EVERETT, WA 98201 <br />(425)257.8810 <br />PERMIT NUMBER U1503.002 <br />i <br />DATE: 3/2/2015 <br />JOB ADDRESS 4912 COLBY AVE <br />LEGAL MSCH TION <br />DESCRIPTION BACKWATER VALVE <br />APN00561800000600 <br />OWNER DAIIAL NARAD K & HEMA D <br />4912 COLBY AVE <br />EVERETT WA <br />PifON!-. <br />98203 <br />TENANT <br />CONTRACTOR <br />PHONE <br />AMERICAN SEPTIC & SIDE SWR LLC <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />4257897296 <br />WATER SERVICE <br />s[AVICE slip I S[avle[nlE I MONTAGE I NDptams I WgVvcl! nNO I Arr1.ICAOON Iq <br />0.00 <br />amra lNfSALLATION DArE <br />,%oA NO <br />II DACV1DW" sTCE SEAIAL NO -- <br />9 aAL[rtOw DfN[E SLAIAL S9 __ __ _ -- <br />MODEL <br />ueif. ISIALLAM4 DATE <br />wARA ON_ 01^_ lIX\fU fall_ al _ _ __— TSG <br />AI:MAIIla <br />ry M!11 N0 SP-I57I0 <br />SF.W ER SERVICE <br />RP1.911\It LIUND <br />REMARKS: Illeasr Note: The City is <br />respomibk for structural defects in the side seurr on the City ROW side Per ENIC 14.08.260 <br />Pee <br />FEES <br />SCNCr UIIIIIy FCC <br />TOTAL FEES <br />$3000 ^ (Eat U E D <br />MAR 0 2 20115 <br />avy O!• LVERE.IT <br />$30.00 PemTIl vices <br />PF.RMIT NUMBER U1503-002 <br />PUBLIC WORKS COPY <br />