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UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 C�DAR STREET <br />EVERF,'CT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1608-013 <br />�°� A°nREsS 1310 MAPLE ST <br />llE:scRirrioN INSTALL BACKWATER VALVE <br />°wNEK GOOD JOSHUA <br />1310 MAPLE ST <br />EVERETT WA 98201 <br />I DA"I'E: <br />i,eGaL �EscRiPT�oN EVERETT DIV T PLAT OF BLK 258 <br />^�'N 00438725802900 <br />TI-:NANT <br />coNrRAcrox AA PLUMBING LLC <br />861 I VISTARAMA AVE <br />EVERETT' WA 98208 <br />i�i ioNe I <br />PH°NF 4254850123 <br />WATER SERVICE <br />CI�:RVICE SIZ[ I SERVI('E'i\'PI�- I �RONTAGI: I NO. OF O! OO I SERVICE ORDt:R ti0. I APPLI�ATIO�' NO. <br />SET"fER IM1STALLA'fION DAII! gy <br />MCTER NO. $JZE <br />R.F. \O. <br />BRA�D <br />�11�:�CR ISTALLATIOh' DATE gy <br />WA'I'[ROti pI�F LOCKL•UOI:T �Y' <br />REEMARKS <br />r�;isnniT No. <br />RI�;MARKS: <br />BY: <br />NI BACKFLOW DEVICE SERIAL NO. __ <br />il2 BACI�Fi.OW DGVICE SERIAL NO. <br />MODEL �O. <br />TSG <br />SEWER SERVICE <br />SP-16790 ''`"""TTYr` ALTERATION I LIUNO. <br />Please Nute: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br />SEWER U1ILI7Y FEE <br />To�rni, rEEs <br />$30.00 <br />$30.00 <br />D:1TE: <br />�i�:i �i �J ��1P� � j ; <br />�._ _ <br />�� �`� � ��,� � �/�':� ^ �� _r- <br />� ,:�� � <br />PERMIT NUMBER U1608-013 <br />AUI�RESS COPY <br />