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U I ILITIES C Y OF EVERETT <br /> PERMIT SERVICES <br /> " err PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1611-051 DATE: j l//I /Aef <br /> JOB ADDRESS 2214 BAKER AVE LEGAL DESCRIPTION CAPITOL HILL ADD BLK 471 D-00 <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00401547102500 <br /> OWNER TUCKER SHIRLEY M TENANT <br /> 2214 BAKER AVE CONTRACTOR <br /> AA PLUMBING LLC <br /> EVERETT WA 98201-2514 <br /> 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PHONE <br /> PHONE 4254850123 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS I SERVICE ORDER NO. I APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> NIETERNO. SIZE I 11 BACKFLOW DEVICE SERIAL NO. - - <br /> RT NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATERON OFF'_ LOCKEDOUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-17007 PERMITTYPE ALTERATION LID NO, <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: <br /> DATE'. <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> NOV 17 1016 <br /> CITY ®F E VERET <br /> TOTAL FEES $30.00 Petr»i t Se T <br /> PERMIT NUMBER U1611-051 <br /> ADDRESS COPY <br />