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� UTILITIES CIF ' OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREF,1' <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1609-015 DA7E: � <br /> JOB ADDRESS 2702 18TH ST LEGn�.n},scR�rT1oN NORMAN ADD TO EVGRETT BLK <br /> vEscalPTioN INSTALL BACKWATER VALVE APN 00531300100103 <br /> �wNER HAUBRICH GERALD P& MONICA R T�NANT <br /> 2702 18TH ST <br /> coNrancrox AMERICAN SEPTIC&SIDE SWR LLC <br /> EVERETT WA 98201-2143 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> PHONE <br /> NFi°NE 4257897296 <br /> WATER SERVICE <br /> SERVIC[SIZE I SF.RVICE TYPE I FRONTAGE NO.OF UNfTS SERVICE ORDER NO. APPLICATION NO. <br /> I �.0� I <br /> I <br /> SE'ITER INSTALLA'lIOV DATE BY <br /> METERNO. $IZE kl BACKFLOW DEVICE SERIALNO. <br /> R.F.NO. I A2 BACKFLOW DEVICE SERIAL NO. _ - _ <br /> dRAND MODEL NO <br /> METLR ISTALLATION DATE BY <br /> - — �,a::,::;, <br /> WATEROh_ OPF LO('KEDOUT BY ,__ TSG �.�'� i?l <br /> _` , � _ � <br /> RBMARKS: ..�_.:� ' <br /> --i i�i:J::C:i= -i:J _ ' <br /> �.��f'_'_�..�'1 f.�_'I <br /> ::l"_ :F.='_ _ ' <br /> rn rri r'�9 <br /> r-:i :... _. �--` <br /> _ ,,..,, <br /> ;;`_; <br /> ��-o <br /> SEWER SERVICE `- '—`-': I�' <br /> r.:., <br /> rrkMirno SP-16861 PL•RMITTYPG ALTERYITION I.IDNO ,�;,�, �'_,'' <br /> �, <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC�.08.2�9 �r+ <br /> ,t-. {F:r <br /> ;�'.s __';=� <br /> -'i�,7 - - _' - <br /> '0 1�y -�1-,�:,�n_7 _ �zi l <br /> .=s _ .- ._ <br /> ""J ��)�' <br /> �--+_-�r-:� <br /> r_. <br /> INSPECTEDBY' I DATE: �_.�:•. <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL I'EES $30.00 <br /> PERMIT NUMBER U1609-015 <br /> ADUEtESS COPY <br />