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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> E' � PERMIT <br /> 3200 CEDAR S"I'REET <br /> EVERETT,Wn 98201 <br /> (425)2�7-8810 <br /> r�Ri��1TNi?ni13[;�z U1411-041 Dr�TG � �/2O�ZO�4 <br /> .io�A���zess 4324"I'ERRACE DR ���cnL DEscttt�TioN <br /> uFscainTioN aqCKWATER VALVG ^�'" 29053100100600 <br /> ����'����� WEATHERHOGG JERRY T& LOGRCH �����"'�n���� <br /> 4324 TL.RRACE DR �'�>�;���z:�cT�oa APOLLO PLUMBING LLC <br /> EVGRETT WA 98203 5407 71 st AVE NE <br /> MARYSVILLE WA 98270 <br /> i�i iow�. <br /> i>iioNi= 4253871507 <br /> �VA"1'GR SGIiVICG <br /> SERVICE SIZE SER\lCE Tl'PE �RO\TAGE �O.OF U�'ITS SERViCE ORDER�'O APPLICATION`JO <br /> 0.0� I <br /> SEl"rER I�STALLATION DATI: BY <br /> MIiTCRNO SI'LE � 111 fIACKFLOW DEVICE SERIAL NO <br /> R F�'p N2 E3�CKFLO�V DEVICL SERIAL NO ._ <br /> 13RA�D AI()DGL 1�'p _ <br /> �II:;I�fRIJTALLATIO�DATG Bl' <br /> ��'ATFR O� O�F I.UCI:LU()ll'f Bt' 'js(� <br /> Itf:MARKS <br /> S�'.����'.�Z��',�l`����L. <br /> ��i.aairr�o SP-I J_i 1 g rr:icairrTv��e AL�I�GRATION �.�u nu <br /> RLNIARKS: Please Nolc'Che City is responsiblc for structural dcfects in the side sewcr on the City ROW side per E�IC 14.08.260 <br /> /��� /' - <br /> �/ ���. DATP: � ��� ^( / <br /> INSPECTED BY': ��'' � _ <br /> r�.Ls <br /> Sewer Utility Pee $30.00 <br /> 7'O'I�:�L FI;I?S �30A0 <br /> PGRMI"I' NlJMI3ER U1411-041 <br /> u�ri�rri�s coi�v <br />