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� <br />� <br />UTILITIE S <br />PERMIT <br />PCRMIT NUMBER U1506-001 <br />.io� nD�rtess 2321 BAKER AVE <br />�escair�rioN 1NSTALL BACKWATER VALVE <br />owN�a RAYNE TRISHA L <br />2321 BAKER AVE <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CCDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />�A"rc: 6/ 1 /2015 <br />LGGAL DESCRIPTION <br />TGNANT <br />CONTRACTOR APOLLO PLUMBING LLC <br />EVERETT WA 98201 <br />5407 71st AVE NE <br />MARYSVILLE WA 98270 <br />I'I ION G <br />i>�ION� 4253871507 <br />WATER SERVICE <br />SLRVICfiSIZE SERVICETYPE FRONTAGE NO.OFUNITS I SERVICEORDCRNO. I APPLICATIONNO. <br />I I ( �.�� <br />APN: 00401649901100 <br />SE'ITERINSTALLATION DATE <br />MI97L•It NO <br />li.l NO <br />METER ISTALLATION DATE BY <br />\VKPGR ON _ OFP _ LOCKED OUT BY <br />RGMAItKS: <br />NIBACKFLOW DEVICE SERIAL NO. <br />N2 BACKPLOW DEVICE S[RIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />r�"��7 ��� i�+`i <br />TSG —r7 p� i::� a <br />I'v` :�' 'w�o) <br />r�-� <br />--{ . <br />��r�--m� Ti�r�i -'^ <br />S.r L= �_ :�" I� 1 <br />Tl �"rl jTi 1' � � <br />c=i ;:,�, ; � , --, i--� <br />I'I:RAII'f N() SP-16104 PLRMI'1� �I�YI'G I I.IU NO. ,�:� <br />����ar <br />KI?MAKKS: Plcase Note: The City is responsible f'or structural defects in the side sewer on the City ROW side �e�MC�4.U8.2GA <br />t;r g {�3 ��n 4-rt. C='�'i ��:. <br />: 5 �_^! C-o Y �J �,_� L^J <br />�, �,�+ a a r7'•. �:..,� �^', t,r <br />� _ r',�••a e_ �...J � _ <br />_. "'�° Ca G� ��.y w� C_� <br />�....r C� F--` �:.-:s 1''.:? r.�. <br />INSPEC"fED [3Y: <br />Scwcr Utility Pcc <br />"1'OTAL REI,S <br />$30.00 <br />$30.00 <br />FEES <br />DATE: r / <br />f� �/ ,�� <br />�� <br />r•. � <br />t_? <br />�,� <br />f_ Tj <br />PERMIT NUM[3ER U1506-OOl <br />ADDRESS COPY <br />