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� <br />UTILITIES <br />PERMIT <br />PERMIT NUMBER U1607-007 <br />�oa fw�aEss 3515 FRIDAY AVE�� <br />��scRlP�ioN INSTALL BACKWATER VALVE <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVER�TT, WA 98201 <br />(425) 2�7-8810 <br />DATE: � ,� !� ��� <br />c� <br />LEcai.DFscRiPT�orr ON W LN LOT 24 BLK 2 FRIDAYS <br />A�N: 00451500400202 <br />owNrR MARTI S7'EPHEN rE=NANT <br />3515 FRIDAY AVE SE coNTenc�ro2 i� � AMERICAN SEPTIC & SIDE SWR LLC <br />EVERETT WA 98201 ✓ 2606 LARLIN DR <br />EVERETT WA 98203 <br />�'HO'"�- 4253152022 <br />�H°N� 4257897296 <br />WATER SERVICE <br />SERVICE SILL' I SERVICE TYPE I FRONTAGE I VO. UF OI OO I SERVICE ORDER NO. I APPLICATIO;�' ti0. <br />SETT"ER IVSTALLATION DATE <br />�IETER NO. <br />R.F. NO. <br />�1f:TER ISTALLATIO\' UATG <br />WATER ON _ ppf . _ LOCKED OL'T <br />R[:MARKS�. <br />BY <br />BY <br />BY <br />SIZE <br />pl BACKFLOW DEVICE SERIALTO. <br />q2 BACKFLOW DEVICE SERfAL NO._ <br />MODF,L NO. <br />SEWER SERVICE <br />�SU <br />.�a_�. ........� . <br />� � __.... ��f � _. . <br />�. ..1 I !.. �..7 .: --:.. <br />' 1"::: <br />� <br />I��'���T"O SP-16731 N�itMiTnrf ALTERATION L1DVO � <br />REVIARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.�'6�. ;:. -_. <br />�;;':;;� <br />� <br />, � � :..;... <br />1\'SPEC'iED BY: y -.'. ..,-. <br />, � D4� 1 Z _ �z -�,� <br />SEWER UTII.ITY FEE <br />TOTAL FEES <br />$30.00 <br />$30.00 <br />FEES <br />PERMIT NUMBER U1607-007 <br />AllDRI-;SS COPY <br />