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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />32000EDAR SI'JCL I' <br />EVERETT, WA 98201 <br />(425) 257.8810 <br />PERM IT NUNIRFR <br />U1504.113 <br />teLTE 1/22/2015 <br />JOB ADDRESS <br />3,120 OAKES AVE <br />I MAI. DESCRIPI ICI <br />DESCRIPTION <br />INSTALL BACKWATER VALVE <br />APN 00438182002300 <br />OWNER <br />FISH MIKE <br />CONTRACTOR <br />AMERICAN SEPTIC 8 SIDE SWR LLC <br />3420 OAKES AVE <br />EVERETT WA 98201 <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />PHONE <br />PHONE <br />4257897296 <br />\N 1'1'ER SERVICE: <br />SIR ICE SIZE I SCRCICLnq I I +O or U1111 <br />I SLAVICE MDER rq I A"LICA➢D RD <br />%"ERINSTALL.ATIDRDATE by — <br />,IETER RO SNE—_ I LI DACAilON' MYICE SERIAL,•D — <br />R ( KO r) RACKRO W MSICE SERIAL RV <br />ORAR9 ___ AIODEL W <br />eT MRISTALIATION DATE. BY <br />WATTRD9_ ots_ LOO:Eo DDE_ by— _ _.. _ — TSG <br />RIAIeR[s <br />SF.%N LR SERVICE. <br />Er R.wtEA) SP-15952 TLk,m I♦I'L <br />Ito Ro <br />It I:\I \HKS; 111ra". \DIC. 'fhr Cup 1, re,poD\ible for structural defects m the side a Ter oil the City HOW side per EN1C 14-08.260 <br />l,I i111H. <br />oelc <br />FELS <br />41,c1 I 11, l,, <br />i7o 0o <br />MI %I.I I IL S30.00 <br />U <br />LL <br />II APR 2 <br />L <br />2 <br />2015 <br />V C <br />erD... <br />vices <br />PFRNIIT NUMBER U1504-113 <br />PUBLIC WORKS COPY <br />