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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />PERMIT SERVICES <br />3200 CEDAR STREI•, I' <br />EVERETT, %%'A 98201 <br />(425)257.8810 <br />PERM ITNUM I*R UISON-035 <br />i <br />DATE 8/14/2015 g <br />10❑ADOMS <br />3411 OAKES AVI: <br />LEGAL DESCRIPTION <br />UESCRIPTION <br />INSTAL[. BACKWATER VALVE <br />AI'N 00438181900600 <br />OWNER <br />PHONE <br />JOHNSTON NED <br />3411 OAKES AVE <br />EVERETT WA 98201 <br />TENANT 'I <br />CONTRACTOR CANIPBELE'S PLUMBING INC <br />P.O. BOX 5541 <br />EVERETT WA 98205 <br />rnaNf 4252593898 <br />\\'A I FR SER\'ICE <br />SERVICESIZE I SERVICE TYPE I 1•. n:'ab: ':, rn r0'0� I :LROLL pvllLR AU I nI111u mry eo� <br />SETTERINSTALLATIONDATC <br />BV -. — <br />METER NO <br />SIZE RI UACKFLDW DEVICE SERIAL W <br />RE <br />4 n0 <br />EBACKELOW DEVICE SERIAL W <br />I <br />DMNO <br />.._ AIUUEL W <br />NITER ISTAlLAl10NDATE <br />BY <br />11'A,LRON_ Orr_ LOCKEDOUT_ <br />OY TSG <br />q <br />�I <br />O <br />f t C`1 <br />LT1 <br />a. <br />n <br />r,m <br />r� <br />rl <br />11.11,110 SP-I(i27R <br />""'�'""" AIAERA'IION <br />L1OF1 <br />, <br />l <br />i <br />I41 RKS: IIIe a Note: <br />'I lie City is responsible for slr,Inur:El 1111CCIN iB IhC side SC"Cr on the 1 11% Ro W sidC per <br />14 OU�1� <br />UI E L�1 <br />c.0o <br />�• <br />C. <br />—1 L <br />rl <br />r <br />I <br />i1A11 <br />1 <br />IM51.1 CITUIIY <br />FLES <br />Sewer Utility Fee $3o 00 <br />TO'I•AI, FEES 530.00 <br />NllRlliF:It U1508-1135 <br />AIMPI eti 1 1II'1' <br />