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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT. \VA 98201 <br />(425)257.8810 <br />PLRNII-I-N11MBE.R U1511-038 <br />DATE 11/23/2015 <br />JOB ADDRESS <br />2718 21 ST ST <br />LEGAL DESCRIPTION READY LAND CO S IST ADD BLK <br />DESCRIPFION <br />INSTALL BACK\WATER VALVE <br />APN 00553101600800 <br />OWNER <br />HORNBAKER DON <br />TENANT <br />CONTRACTOR <br />CAMPBELL'S PLUMBING INC <br />271821STST <br />EVERETT WA 98201-2506 <br />P.O. BOX 5541 <br />EVERETT WA 98205 <br />PHONE <br />UL <br />4252593899 <br />OVA'1Fit SERVICE <br />SERVICE SIZE I SERVICE TYPE I EMONEwfE 'D OE UPITI I SERVICE ORDER NO I APPLICATION NO <br />0.00 <br />SFTfER INSTALLATION DATE <br />n:E'PER NO <br />4f NO - <br />METER ISTALIATIO40ATE DY. <br />WATER ON_ OPP_ LMCDOOT__ OV <br />REMARKS' <br />PI DACRRAW DEVICE SERIAL NO <br />4 G+O:ELO\V DIVIDE SERIAL NO - <br />MODEL N0. <br />TSG <br />T <br />rrl m <br />-7 n <br />Sh]\'ER SERVICE <br />r� <br />0 <br />,I KNIT NO PER"'R TPC ALTERATION <br />SP-16436 <br />LID LD <br />I'Ieufe \OIC: The City if respnnfiblD for xtruchlral flrfecb in She file srfeer on the Ciy ICON' fide per h:Ui. 14.08.10- z <br />F v� <br />ItENL1ItRS; L•! L•1 <br />`o <br />--+ P— r• <br />INfPI GILD DY <br />FEES <br />Sefeer Utility Fee $30.00 <br />✓k��S <br />'I.OTA 1. FEES 530.00 I' <br />PERMITNUNIBLR U1511-038 <br />ADDRESS Cr SPY <br />