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UTILITIES <br />PERMIT <br />PERMIT NUMBER U1603-038 <br />JUB ADDRESS 1316 E MARINE VIEW DR <br />DFscxip�r�oN INSTALL BACKWATER VALVE <br />�wNER RICHARDSON GRACE <br />7124 20TH ST SE <br />LAKE STEVENS WA 98258 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: � .- a � " ( � <br />LEGAL DESCRIPTION EVERETT DN T PLAT OF BLK 259 <br />�N 00438725900200 <br />TENANT <br />CONTRRCTOR AGOSTINO CONSTRUCTION INC <br />23418 SE 247TH CT <br />MAPLE VALLEY WA 98038 <br />PHONE <br />PHONE 4254338281 <br />WATER SERVICE <br />SERVICL SIZE I SERVICE TYPE I FRONTAGE I NO.OF O OO I SERVICE ORDER NO. I APPLICATION NO, <br />SEITERINSTALLATION DATt <br />METBR NO. <br />R.F, NO, <br />METERISTALLATION DATE <br />W A'PER ON __ OFF _ LOCKED OUT <br />REMARKS. <br />I'�RMIT NO. <br />REMARKS: <br />MSPECTED BY� <br />BY <br />BY <br />qIBACKFLOW DEVICE SERIAL NO. <br />N2 BACKFLOW DEVICE SERIAL NO._ <br />MObEL NO. <br />SEWER SERVICE <br />TSG <br />SP-16576 PERMITTYPE ALTERATION I LIDNO. <br />Pleasc Note: The City is responsible for structural deTects in the side sewer on the City ROW side perEMC 14.08.260 <br />_ FEES <br />Sewer Utilitv Fee $30.00 <br />TO"1'AL FCES <br />�� �,,v � �e d <br />$30.00 <br />DATE: <br />PERMIT NUMBER <br />� �"�� <br />� '"�� � <br />MAR 2 8 20g� <br />�r�� c�F �v����� <br />o_.---- •. ,. <br />U1603-038 <br />ADDRESS COPY <br />Y <br />