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UTILITIES <br />PERMIT - <br />TY OF EVERETT <br />RMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA :8201 <br />(425) 257.8810 <br />PERMIT NUMBER U1502-031 <br />i <br />DATE 2/9/2015 <br />JOB ADDRESS 1611 1911 I SI• <br />LEGAL DESCRIPTION <br />DESCRIPTION BACKWATER VALVE - <br />APN00437036801701 <br />OWNER ROLLEVSON DONALD <br />1611 19TH ST <br />EVERETT WA <br />PHONE <br />98201 <br />TENANT <br />law <br />CONTRACTOR <br />PHONE <br />CAMPBELL'S PLUMBING INC <br />P.O. BOX 5541 <br />EVERETT WA 98205 <br />4252593898 <br />N'ATER SERVICE <br />SERVICE SISE SERYICETYPE ITONf �GY: nU OI VMn, SERVICEORDLN NO APPLICAMN NO <br />0.00 <br />$LITER INSTALLATION DATE <br />mmp Iq <br />METER ISTALLATON DAIS BY, <br />WATEAON_ OEF_ LOCNEDOVI_ BY <br />PI OACAELOW DEVICE SERIAL NO <br />RI BACNROW DEVICE SERIAL NO. <br />MODEL NO - <br />TSG <br />SEWER SERVICE <br />SP-15635 ILAwTME ALTERATION <br />LID NO <br />R 01 %RKS: Please Note: The City is responsible for structural defects in the side sewer on the City RO\Y side per EMC 14.08.260 <br />i l.5vhC1EDBY ' <br />OAn <br />Sealer U(d1Iy ree $30 00 <br />II FEB 0 9 2015 L <br />CI-.-V 0i. FRETT <br />rermii S_: vices <br />TOTAL FEES $30.00 <br />PERMIT NUMBER U1502-031 <br />PUBLIC WORKS COPY <br />