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'ILITIES IITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1609-016 DATE: 09/12/2016 <br /> JOB ADDRESS 3322 16TH ST LEGAL DESCRIPTION RIVERDALE ADD BLK 323 D-00-I <br /> DESCRIPTION ADD SIDE SEWER BY TAPPING INTO EXISTING SIDE SEW APN: 00556332300500 <br /> OWNER WYLLYS COLLEEN TENANT <br /> 4709 W VIEW DR CONTRACTOR TRI-TERRA LLC <br /> EVERETT WA 98203 8722 147TH NE <br /> GRANITE FALLS WA 98252 <br /> PHONE <br /> PHONE 2069206963 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE SI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> m�3 <br /> WATER ON OFF LOCKED OUT BY TSG gyp^C.72 <br /> -S' d. <br /> REMARKS: Cl-; <br /> 7.2 <br /> I SEWER SERVICE r7r; <br /> _r, I <br /> rI <br /> PERMIT NO. PERMIT TYPE ALTERATION LID NO. <br /> } <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0VP <br /> n <br /> ca #, <br /> r_-"Drho r'il <br /> INSPECTED BY: I DATE' I—& <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER 111609-016 <br /> ADDRESS COPY <br />