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UTILITIES <br />PERMIT <br />PERMIT NUMBER U1603-037 <br />JOB ADDRESS 1201 MAPLE ST <br />�EscxtPTioN INSTALL BACKWATER VALVE <br />owrvER JOHNSON VERN <br />1201 MAPLE ST <br />EVERETT WA 98201 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />I DATE: <br />LEGAL DESCRIPT[ON <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />�-2�-f� <br />EVERETT DIV T PLAT OF BLK 230 <br />APN: 00438723000100 <br />TENANT <br />CONTRACTOR AGOSTINO CONSTRUCTION INC <br />23418 SE 247TH CT <br />MAPLE VALLEY WA 98038 <br />PHONE <br />PxorrE 4254338281 <br />WATER SERVICE <br />SERVICESIZE SERVICETYPE FRONTAGE NO.OFUNITS I SERVICEORDERNO. I APPLTCATIONNO. <br />I <br />I <br />I Q.�� <br />SE'ITER INSTALLATION DATE <br />METER NO. <br />R. F. NO, <br />METERISTALLATION DATE BY <br />WATERON OFF WCKEDOUI' BY <br />REMARKS: <br />NsxMi� No. <br />REMARKS: <br />MSRECTED BY: <br />BY <br />1JI BACKFLOW DEVICE SERIAL NO. <br />H2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />TSG <br />SEWER SERVICE <br />1 I <br />SP-]6575 PERMITTV'PE ALTERATION I LIDNO. <br />Please Note: 'Phe City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br />_ _ FEES <br />Sewer Utility Fee <br />TOTAL FCES <br />$30.00 <br />$30.00 <br />DATE: <br />PERMIT NUMBER <br />i ' , <br />:4 � � �, <br />ADDRESSCOPY <br />