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UTILITIE S <br />PERMIT <br />PERMIT NUMBER U1608-017 <br />�ou AimRFss 2509 LOMBARD AVE <br />nr:S�Kii>ri�N INSTALL BACKWATER VALVE <br />°wN�K STAIR RAY G <br />PO BOX 1715 <br />EDMONDS WA 98020 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CLDAR STREET <br />GVLRI:'I"T, WA 98201 <br />(425) 257-8810 <br />I DATE: <br />�EGAL DEscxlPTiorr EVERETT PLAT OF BLK 566 D-00 - <br />AP�` 00439156600500 <br />TFNAN"T <br />CON"I'RACT'OR AA PLUMBING LLC <br />861 1 VISTARAMA AVE <br />EVERETT WA 98208 <br />i�iic�Ni: I <br />PE�°NL 4254850123 <br />WATER SERVICE <br />SERVI('LSIG[: I $ERVICETYPE I FRON'1'.4GG I VO-OF O.00 I SERVICEORDL:R'�'U. I APPWCATIONhO. <br />SEI7ERI\STALLAI'10� DATE HY <br />METER :�O- $IZE <br />R f. v0. ___ __ ." <br />IiRANU. ___ __._' <br />MLTLR ISTALLATIO!v DAi[: BY <br />1VA'I'(:ROM1' Oi'1� LOCKEDOUT BY <br />Nf:MARKS'. <br />��f:H��� �� <br />REMARKS: <br />11'SP[CTf�:IJ Bl'. <br />_.._ I al BACKFLON�' DEVICE SEAIAL \O. —- <br />#2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />TSG <br />SEWER SERVICE <br />SP-16794 ''":"''T``'� ALTERATION I `'°"o <br />Pleasc \'ote: The City is responsible for structural defects in the side sewer on the City ROV1'side per F.MC 14.08.260 <br />SEWLR U77LITY FEE <br />T07'AL FI?F,S <br />DATE: <br />FEES <br />$30.00 <br />i � ' Y { <br />N9 Q�3�J tD � �fli� ?.:`�'� <br />A <br />'!�'�/ ��' ��; s��,;_��,. <br />y <br />, � � _ <br />$30.00 <br />PERMIT NUMBER U1608-017 <br />ADDRI�SS COVY <br />