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UTILITIES <br />PERMIT <br />PERMIT NUMBER 1J1603-058 <br />JOB ADDRES5 1602 BAKER AVE <br />�t;scxrPT�oN INSTALL BACKWATER VALVE <br />owxER EVANS ERIC <br />1602 BAKER <br />EVERETT WA 98201 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />IDATE: 3 r � � •— ( � <br />LSGa� DEscR�T�oN EVERETT DIV U PLAT OF BLK 33� <br />ApN: 00438833203100 <br />TENANT <br />CONTRACTOR AGOSTINO CONSTRUCTION INC <br />23418 SE 247TH CT <br />MAPLE VALLEY WA 98038 <br />PHONE <br />P»oNE 4254338281 <br />WATER SERVICE <br />SERVICESI7.E SERVK:ETYPE FRONTAGE NO.OFUNITS ( SERVICEORDERNp, I APPWCATIONNO. <br />I I <br />I Q.�� <br />SE'ITEAINSTALLATION DATE <br />AIETER NO. <br />R.F. NO. <br />MI:TER ISTALLATION UATE BY <br />WATGR ON _ OFF __ LOCKED OUT __.___ BY <br />REMARKS: <br />I'GRMIT NO. <br />R�MARKS: <br />INSPGCTED Bl': <br />BY <br />#1 BACKFLOW DEVICE SER[AL NO. <br />N2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />TSG <br />SEWER SERVICE <br />i i <br />SP-16597 PERMITTYPE ALTERATION I LIDNO. <br />Please Note: The City is responsible for structurai defects in the side sewer on the City ROW side per EMC 14.08.260 <br />Sewer Utility Fee <br />TOTALFEES <br />$30.00 <br />$30.00 <br />FEES <br />T� P�QSTING � ! � � � � C' <br />DATE: <br />I; .p '�C::'J C�'✓ � ``.3' <br />� � <br />� <br />� MA�d 2 8 20a6 <br />�[T�' �F EV�R�TT <br />P�rrnit ��r•vice� <br />PERMIT IYUMBER U1603-058 <br />ADDRESSCOPY <br />