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UTILITIES <br />CITY OF EVERET'f' � �' <br />PERMIT SERVICES <br />PE1l1rlIT �?00 CEDAR STREET <br />EVERETT, WA 98201 <br />(425)257•8810 <br />PERMITNUMBER U1412-001 <br />JOB ADDRESS 1709 RAINIER AVE <br />DESC0.IPTION BACKWATER VALVE <br />pWNER g�GELOW KYLB D& JODI L <br />1709 RAINIER AVE <br />EVERETT WA 98201 <br />� DATE I2I2/ZOI4 <br />LEGAL DESCRIPTION <br />^PN 00438835400500 <br />TENANT <br />CONTRACTOR pf, pLUMBMG LLC <br />8611 VISTARAMA AVE <br />EVERGTT WA 98208 <br />I PHONE <br />PHONE Q254g$O�Zj <br />WATER SERVICE <br />SEIIVIfE51IF I SERVICEttPE I i10M�G[ I ��a�� ' f SEPNQqCERtq I �MLCATONMO. <br />SETIEM INST�LL�TqN DAIE <br />MtIER HJ <br />METERISTALLATIONO.�TE �tlY <br />W�iERON_ OiF_ W[I(EDOIR_ eV <br />IIEM�FY.S <br />84C1:M1ON' OEVICC SF.RISLNO <br />MOOEL NO <br />SEWER SERVICE <br />T5� <br />reunrtra $P-1S330 rcwmxvc pLTERATION I uouo <br />REMARKS: Pluse No�o: The City is responeible for slruotunl defects in tht sidt sewer an thc Ciry ROW side per EMC 11.08.260 <br />Savcr Uiiliry Fcc <br />'1'OTAL FEES <br />570.00 <br />510.00 <br />FEES <br />o.� �z—Z—� <br />' �:° (�� � � <br />2�i V � l� I <br />DEC 0 2 2014 I�J <br />�, L <br />��:1' C� ;:'� E2E l i <br />°er�r.i� =�_:�ices <br />PERMIT NUMBER U1412-001 <br />PUBLIC WORKS COPY <br />