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UTILITIES <br />PERMIT <br />PERMIT NUMBER U1603-044 <br />JOB ADDRESS 1512 MCDOUGALL AVE <br />DFscx�PTioN 1NSTALL BACKWATER VALVE <br />owN�R SHERWOOD TODD <br />1512 MCDOUGALL <br />EVERETT WA 98201 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 9820] <br />(425) 257-8810 <br />DATE: � "'O� � M I � <br />LSGaL �EscRmTiorr HILTONS 2ND ADD TO EVERETT : <br />ApN: 00475431402700 <br />TENANT <br />CONTRACTOR MOEN PLUMBING <br />17515 41 ST ST SE <br />SNOHOMISH WA 98290 <br />PHONE <br />Pt�oNE 4257608360 <br />WATER SERVICE <br />SERVICE SIZL I SERVICE TYPE I FRONTAGE I NO.OF UO.00 I SERVICE OflDER NO, I APPLICATION NO. <br />SETTER INSTALLA'fION DATE <br />METER NO. _ <br />R.F. NO. <br />ME'1'6R ISTALLATION DATE <br />WATERON __ OFF,_ _.__ LOCKEUOUT <br />RCiMARKS: <br />PGRM11' NO. <br />REMARKS: <br />MSPECTEU BY: <br />HY <br />BY <br />BY <br />NIBACKFLOW DEVICE SERIAL NO, <br />#2 BACKFLOW DHVICE SERIAL NO._ <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />SP-16581 PE"""T�P� ALTERATION I LIDNO. <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 />Sewer Utility Fee <br />TOTAL FEES <br />$30.00 <br />$30.00 <br />FEES <br />DATE: <br />��,R � s 7o�s <br />+C[TY OF �V�:��`��° <br />Permit Serv�c�� <br />PERMIT NUMBER U1603-044 <br />ADDRESSCOPY <br />