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UTILITIES <br />PERMIT <br />PERMiT NUMBER U1603-041 <br />JOB ADDRESS 1502 MCDOUGALL AVE <br />DESCR[PTION 1NSTALL BACKWATER VALVE <br />owr�ER BRAGOLE BARBARA R <br />1502 MCDOUGALL AVE <br />EVERETT WA 98201-1736 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-88]0 <br />DATE: �— `Z � — f liJ <br />LEGAL DESCRIPTION HILTONS 2ND ADD TO EVERETT : <br />APN: 00475431403100 <br />TENANT <br />CONTRACTOR AGOSTINO CONSTRUCTION INC <br />23418 SE 247TH CT <br />MAPLE VALLEY WA 98038 <br />PHONE <br />rxoNE 4254338281 <br />WATER SERVICE <br />SERVICE SIZE I SERVICE TYPE I FRONTAGE I NO.OF UO.00 I SERVICE ORDER NO. I APPUCATION NO. <br />SE7TERINSTALLATION DATE <br />METER NO. <br />R.F. NO. <br />METER ISTALLATION DATE BY, <br />WATER ON _ OFF _ IACKED OUT ___ BY <br />REMARKS: <br />PERM17' NO. <br />REMARKS: <br />INSPECTED BY: <br />BY <br />I kIBACKFLOW DEVICE SERIALNO. <br />#2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />SP-16579 PERMITTYPE ALTERATION I �'D"o. <br />Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br />DATE: <br />_ FEES _ _ <br />Sewer Utility Fee $30.00 <br />TOTAL FEES <br />$30.00 <br />PERMIT NUMBER <br />`�� � �� � <br />MAR 2 8 20 �� <br />�'�°�'�u' ��' �`���� <br />nreai� m..�::.,.,�.�.. <br />U1603-041 <br />ADDR�SSCOPY <br />