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UTILITIES CITY OF EVERETT <br /> ,14 <br /> PERMIT SERVICES <br /> ,,,sogioi <br /> ETT PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1512-037 DATE: 1 2 — 2. 1 I S <br /> JOB ADDRESS 3415 HOYT AVE Se' I I.GAL DESCRIPTION EVERETT DIV A PLAT OF BLK 82" <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00436982300800 <br /> OWNER BROWN LAINA TENANT <br /> PO BOX 12844 CONTRACTOR SIDE-SEWER <br /> EVERETT WA 98206 <br /> •• BO 7 <br /> MUKILT WA 98275 <br /> PI IONE <br /> PHONE 25772 400 <br /> IWATER SERV' F l <br /> iPu\l(I SI/E. SERVICE TYPE FRONTAGE OF UNIT SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> C} <br /> METER NO. SIZE _ °1 BA KFLOW DEVICE S.•IAL NO. <br /> •N„...iz, <br /> R.F.NO. �` CKFLOW DEVIL •ERIAL NO. <br /> BRAND _ _ DEL NO <br /> METER ISTALLATION DATE 131 <br /> WATER ON OFF_ LOCKED OUT__ I31 '� TSG 2r1 p""' iT: <br /> r c.-..-: <br /> REMARKS. F' .6. <br /> L j _—i CJ) <br /> r 1 e'._ <br /> 1‘.:14....**".*."- <br /> I:• <br /> • F' <br /> �_ <br /> ,....7.1 .e;t N...a <br /> SEWE' SERVICE -••.:T f•-•ir•,} <br /> F...�.F_�.. <br /> ^-.a <br /> PERMIT NO. SP-16466 PERMIT TYPE ALTERATION LID NO. 410 <br /> REMARKS: Please Note:The City is responsible for structural frets in the side sewer on the City ROW side per EMC 14.08.2( <br /> `=' ie—.1.Y7 <br /> I I'.7 I <br /> INSPECTED BY DA IT 1--, <br /> I--,1 <br /> FEES I <br /> Sewer Utility Fee $30.00 <br /> / <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER U1512-037 <br /> ADDRESS COPY <br />