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UTILITIES <br />PERMIT <br />PERMTT NUMBER U1603-002 <br />�os nD�aEss 2401 ROCKEFELLER AVE <br />�EscxlPTioN INSTALL BACKWATER VALVE <br />owNHR DONHOFF JOANNE <br />2401 ROCKEFELLER <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERET"I', WA 98201 <br />(425) 257-8810 <br />I DATE: <br />LEGAL DESCRIPTION <br />TENANT <br />EVERETT PLAT OF BLK 550 D-02 - <br />APN: 00439155000102 <br />coN�rizncro�i AMER[CAN SEATIC & SIDE SWR LLC <br />EVFRETT WA 98201 2606 LARLIN DR <br />EVERF,TT WA 98203 <br />�'� ���N�: 4258942050 <br />i>i ioNr: 4257897296 <br />WA'TER SERVICE <br />58RVICE SIZE I SERVICH TYPE I FRON"fAGE I NO. OF O.00 I SERVICE ORDEIt NO. I ANPIdCA'I'ION NO. <br />SETTER INSTALLATION DATE <br />METER NO. <br />R.F. NO. <br />ME'IER ISTALLA'I'ION DATE HY <br />WATER ON _. __ OFF _. LOCKED OU'P BY <br />REMARKS: <br />HY <br />NI BACKFLOW DEVICE SERIAL NO. <br />H2 BACKFLOW D6VICE SERIAL NO, <br />MODEL NO. <br />SEWER SERVICE <br />....�.� ,,,,.y� _;�...+ <br />TSG y...r:} , �_f::� <br />- � t::a t <br />r--� ::�.: �W, <br />� <br />._..� �� <br />j„ ��,� . �;,�.; � <br />y._... � :..r'"'.�'.' <br />a:::�. �.--� <br />i: <br />, , , .� <br />... :::r'i . .,. <br />P`"""�'�"o SP-16548 Pr:aMn rvrr ALTERATION I�.iuNo. <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per F.MC <br />� <br />�s:��::� p t.r•:t .._. <br />r,._«.{ i: �.1 <br />.�� � „"".� <br />..:...� y`��y , .:'x ."„' ..� �'e <br />IMSPFCTEU BY: I DA'PE `+��"�� <br />FEES <br />Sewer Utility Tee <br />T07'AL FEE:S <br />$30.00 <br />�30.00 <br />TO POSTING �'���' �'��� <br />NERMIT NUMBER <br />U1603-002 <br />ADDRESS CONY <br />