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UTILITIES <br />PERMIT <br />PERMIT NUMBER U1609-045 <br />�oHnr�nREss 4009 GRAND AVE�S`E <br />nr:scRrnrroN WSTALL BACKWATER VALVE <br />owNt:a NGUYEN KAHANH <br />4009 GRAND AVE SE <br />EVERETT WA 98201 <br />�'11ON1' 2532172996 <br />CITY OF EVERETT <br />P�RMIT SERVICES <br />3200 CGDAR STRFI;T <br />EVERE"I�T, WA 98201 <br />(425) 257-8810 <br />DATL: � � � � � � � <br />.� <br />L�cn�, �EscRiPTioN SMYTH LAND CO S 2ND ADD BLK <br />A�N: 00578800300004 <br />I'ENAN'I' <br />coNrancroa AMERICAN SEPTIC & SIDE SWR LLC <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />I � PHONi= 4257897296 � <br />WATER SERVICE <br />$F,RVIC[�: SIl.I-: I SERVICE TVPF I FRO�'I'A�E I VO. OF UO OO I StRVIC't ORDER \O. I APPLICdI'I()V M1O. <br />SETTI:RI\'ST.4LLATIOM1'U4TF. BY <br />\tEl'[R \'p. SIZE <br />R.F. NO. <br />BRAVD <br />\1G7L:R ISl ALLAT101' I)A'17��: BY <br />WA'I'[;R ()N OFI� LOCKED OUI' __ BY _ _ <br />ar�iniz�:s <br />PI�:RMI'I� VO. <br />KE�IARKS: <br />BY: <br />#IBACKfLOW DEV[CE SERIAL�O. <br />#2 BACKFLOW UEVICE SERIAL NO._ <br />'NODEL NO <br />�;; �� , �:;:; <br />��� <br />TSG S:i-i .. r.:�7 <br />__. <br />_-- __— _..�_..:�.-_—�..'"` _c4' �'� <br />1--i <br />.�..{ i�l.: +_1= 1 �.� ' . <br />�.',J r- r-�..i t'�-t <br />s: F_ r-_- -- <br />f"�'I f"Tl rr _ <br />,: <br />--�„ �.....� <br />I."� � J . _, <br />SEWER SERVICE <br />reami� rvre I i.i� vo � F <br />SP-16887 ALTERATION <br />�, <br />Pleasc \ote: The City is responsible for structural defects in the side sewcr on the City ROW sidc per E,VaC�1�3.Qt3.E�Z0�_t <br />�-r•. � i_ �� ��_> r_�.� <br />�a <br />��}o ��e <br />_:s 4�^y ;� , _r_:. �,� <br />� __ -r.: • �— <br />SGWER U'i'ILI"fY FEE <br />TO'I'AL FEES <br />$30.00 <br />$30.00 <br />FEES <br />DATG <br />PERMIT IVUMBER U1609-045 <br />ADDRESS COPY <br />