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OF EVERETT <br /> L i ILITIES C 'Y <br /> PERMIT SERV ES <br /> tv PERMIT <br /> 3200 CEDAR EET <br /> EVERETT A 98201 <br /> (42 57-8810 <br /> PERMIT NUMBER U1611-058 DATE: �l <br /> JOB ADDRESS 2501 CALIFORNIA.,O $ s LEGAL DESCRIPTION EVE TT DIV I PLAT OF BLK 634 <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00437863401 101 <br /> OWNER LEWIS TRACY M&JAMES S TENANT <br /> 9206 31 ST AVE SE CONTRACT/42541850123 <br /> LUMBING LLC <br /> EVERETT WA 98208-3644 VISTARAMA AVE <br /> ETT WA 98208 <br /> PHONE <br /> PHONE <br /> TE SERV <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> \\11111,11111,W I — <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #I BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. __,.__,___.,_ <br /> METER ISTALLATION DATE BY <br /> WATER ON__ OFF_ LOCKED OUT BY TSG <br /> REMARKS' <br /> SEWER SERVICE <br /> PERMIT No. SP-174 PERMITTYPE ALTERATION LIDND. <br /> REMARKS: Please Note: City' esponsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY. I DATE. <br /> FEES <br /> SEWER UTILITY FE' $30.00 <br /> t` <br /> NOV 11 2016 <br /> TOTAL FEES $30.00 �`� nY IOrF EUR��T <br /> PERMIT NUMBER U1611-058 <br /> ADDRESS COPY <br />