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UTILITIES <br /> CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1606-018 DATE: —3 - [` <br /> JOB ADDRESS 1620 ROCKEFELLER AVE LEGAL DESCRIPTION EVERETT DIV L PLAT OF BLK 339 <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00438033902200 <br /> OWNER PARSONS ROGER P TENANT <br /> 1620 ROCKEFELLER AVE CONTRACTOR AA PLUMBING LLC <br /> EVERETT WA 98201-2056 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> N IUNk <br /> PHONE 4254850123 <br /> WATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO, APPLICATION NO. <br /> I <br /> 0.00 <br /> I <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE _ #1 BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. n BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF LOCKEDOUT BY LSC <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-16688 PERMITTYPE ALTERATION LID NO- <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: I DATE: <br /> FEES <br /> Sewer Utility Fee $30.00 <br /> "'0P `"F'' 'i5 <br /> �4a! 0 2016 LO; <br /> L <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1606-018 <br /> ADDRESS COPY <br />