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PfILITIES <br /> *TY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U 1611-025 DATE: N l <br /> JOB ADDRESS 1712 19TH ST LEGAL DESCRIPTION E ERETT DIV/LAT OF BLK 38C <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00437 8003101 <br /> OWNER POSTMA FRANCES M REV LIV TRUST TENn <br /> 1712 19TH ST 'oNTRAc AA PLUMBI LLC <br /> EVERETT WA 98201 <br /> 8611 VIST MA AVE <br /> EVERE WA 98208 <br /> PIIONF. <br /> 41PE 425 50123 <br /> Ir <br /> WATER SXRVIJE <br /> SERVICE SIZE SERVICE TYPE FRO CE NO.OF I- SERVICE ORDER NO. APPLICATION NO. <br /> 6.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE NIB - OW DEVICE SERIAL NO. <br /> R.F.NO. __ I 11 ACKFLOW DEVICE SERIAL NO. <br /> BRAND OPEL NO. <br /> METER ISTALLATION DATE By <br /> WATERON OFF _ LOCKED OIIT_ BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PE <br /> 11-11 No, SP-16983 PERMIT TYPE ALTERATION LID NO. <br /> REMARKS: Please Note:The ' esponsibl or 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 Ui'[LITY FEE $30.00 <br /> NOV 17 2010 <br /> CITY OF EVERETT <br /> TOTAL,FEES $30.00 Perrilit Services <br /> PERMIT NUMBER 01611-025 <br /> ADDRESS COPY <br />