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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETI', WA 9820i <br />(425) 257-8810 <br />PERMIT NUMBER U1505-081 <br />DATE- 5/18/2015 <br />JOB ADDRESS <br />3005 19TH S1 <br />LEGAL DESCRIPTION <br />DESCRIPTION <br />INSTALL BACKWATER VALVE <br />APN 29052000100200 <br />OWNER <br />PHONE <br />BRYANT KRISTIN L <br />3005 19TH S1 <br />EVERETT WA 98201 <br />TENANT <br />CONTRACTOR <br />PHONE <br />APOLLO PLUMBING LLC <br />5407 71st AVE NE <br />MARYSVILLE WA 98270 <br />4253871507 <br />WATER SERVICE <br />SERVICE Sill irRCICE P\V£ rP U+'TIC! RO UI LN:ITS SERVICE ORDER NO APPLICATION NO. <br />0.00 <br />SETTER INSTALLATION OATT.. <br />METER NO <br />R f. NO <br />METER ISTAUATONDATE DY <br />WATERON— WE_ LOCKEDOUIF_ by <br />REMARKS. <br />EI EACKROW DEVICE SERIALND <br />Ll RACKROW DEVICE SCRIAL NO. <br />M 11. NO <br />TSG <br />SEWER SERVICE <br />rrRurt No S11-16057 PEPNOTT PE <br />IUNo <br />REMARKS: 19cese Nut,: 'I -he CHN is respnndble for structural defects in the side weer on Ihr ('in I((1\\'side per []%1(' I4.08.260 <br />l <br />-/9-15- <br />SCMer Utility Fee ^ a 1l t7 <br />MAY 1 8 2015 FQ <br />C1T'Y 01 c "'FRET T <br />101Al, FEES $30.00 Permit SCl vice <br />PERMIT NUMBER UI505-0NI <br />PUBLIC WORKS COPY <br />