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�,-,..� <br />�i� <br />UTILITIES CITY OF EVERETT .- �� <br />� <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR S7'REET <br />EVEItETT, WA 98201 <br />(425) 257•8810 <br />PERMITNUMBER U1412-015 <br />J08 nDDRESS 1928 MCDOUGALL AVE <br />DESCRIPf10N INSTALL DACKWATER VALVE <br />owr+�R FOSTER ALLEN <br />1928 MCDOUIiALL AVE <br />EVERETT WA 98201 <br />PIIONE 3607390212 <br />SExvl(ESi1E <br />Sfl'iEl1 iM:T�LLnllON OATE <br />MfIEM FO <br />SE�VI[EME <br />MifM15TALLAT10N0e1E BY <br />WAICMOV_ WT_ IACAfDOVf_� EY <br />IIEA1/.P\S <br />onre 12/4/2014 <br />LF.GnL DESCRIPTION <br />^PN 00437938401900 <br />T[NANT <br />CONiCACTOR AMERICAIJ SHPTIC & SIDB SWR LLC <br />2606 LARLM DR <br />EV[RET'T WA 98203 <br />I PHOh[ <br />WATER SF.RVICE <br />iPOMnLE I �O.Of UNIiS <br />Q.�Q <br />0�[I:ROW OEVIC( SPMLNO <br />110DEL NO <br />SElNCEORDE�MJ. I APM1IC�TONNO <br />PqA1TVO SP-15344 """"T"'` NEW CONNECTION I LDNO <br />REMARICS: Ylcyx Nole: T�c City is responsible for slruclurul dcfecis in Iht side sawtr on Ihr Ci�y HON' side per EMC 14.08560 <br />nr <br />SfN'C! UIIIII)' �CC <br />'iOl'AL FEES <br />S30 00 <br />S30.W <br />FEES <br />�� <br />o..� / Z' `Y'_ <br />PERMITNUMBER U1412-015 <br />PU�UC WORKS COPY <br />