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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> &e. <br /> rr PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER 01603-077 DATE: 3--R4`-t0 <br /> JOB ADDRESS 2411 18TH ST LEGAL DESCRIPTION EVERETT DIV U PLAT OF BLK 35` <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 0043883550170 <br /> OWNER OLSON CHRIS& PACHECO TERESA TENANT <br /> 2411 18TH ST CONTRACTOR AGOSTINO CONSTR ION INC <br /> EVERETT WA 98201 23418 SE 247TH CT <br /> MAPLE VALLEY WA 98038 <br /> PHONE <br /> PHONE 4254338281 <br /> WATER SERVI <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.I I ITS I SERVICE ORDER NO. I APPLICATION NO.0. <br /> SETT ER INSTALLATION DATE BY <br /> METER NO SIZE _ # ACKFLOW ICE SERIAL NO <br /> N.F.NO. 2 BACKFLO EVICE SERIAL NO. _ <br /> BRAND MODEL <br /> METER ISTALLATION DATE BY <br /> W ATER ON OFF- LOCKED OUT BY TSG <br /> REMARKS <br /> SEWER SERVICE <br /> 1'1/RM1'T NO SP-1 66 4111. I YPE ALTERATION LID NO. <br /> REMARKS: Please Note The Ci is r onsible Tor ructural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> I NSPECTED BY I DATE: <br /> FEES <br /> Sewer Utility Fee $30.00 <br /> I <br /> MAR 2 8 2016 1 <br /> F01.k1,FE Es $30.00 CITY OF EVERETT <br /> PERMIT NUMBER U1603-077 :D <br /> TREASURERS COPY <br />