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' UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> E �' PERMIT <br /> 3200 CEDAR STREL'T <br /> EVERET"T',WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1501-029 °ATE 1/7/2015 <br /> 10�n��aEss �� �0 ROCKEFELLER AVE � "�' �ecnL�EscRu>'rioN <br /> ��sciiiPTioN BACKWAT�R VALVE ANN 00468621902�00 <br /> �wN�':ii CDWARDS JAM�S D r�NnNr <br /> 2414 NE 60TH <br /> coNritncTOR ABSOLUTE STO AND SEWER <br /> SEATT'LE WA 98115 <br /> 7723 236Th St S <br /> EDMONDS WA 98026 <br /> YHONli <br /> PHONE <br /> WATER SERVICE <br /> SGRVICE SI"!.!; SI:ILVICf:TYPE FRONTAGE NO. F UNITS I SLRVICE ORDER NO. I APPLICATION NO. <br /> I I ,O! <br /> SETTGR INSTALLA'I'ION DATE BY <br /> METL:R NO._____,,_ __ _ SIZE BAC L� DEVICE$ERIAI.NO. _ ___ . <br /> f( <br /> � <br /> BIL\ND D[L NO. <br /> ._ -_ .'__-__'._ .' ' _. _ _"__"- "_ , <br /> MLT[li IS'fALLATION UA'I'F _ _13Y ______ � <br /> f�• ,..i <br /> \VATF:RUN OI`I� LOCKEUOUT 13Y TS�i ' I="�'�I"��`I <br /> ._."_ —.' f _'i ..., <br /> :... �� i..:.. <br /> �t H_.. �-_,. -'a" ,� <br /> r-i �-a„I <br /> REM/�ItK1 .;,a. _. _..�.� <br /> /' ..� ......_�:::�_:::{:'.I'r:i:i <br /> �.,. <br /> r I..��I�---i..,...i r'�-i ..:__ <br /> ::�::�• attc:: �_" [::i <br /> .a-'. I-r.� r'�°i <br /> __ '' ' I._.�. <br /> 1-=� <br /> .S�WC'�.St.RV�C�. �..��; j'�":i I.:'��. <br /> i <br /> f'..: <br /> i�eaMrrNo SP-15498 i�raMrrrvi�i: �LTERAT'ION �.inNo ���; ;:.:'; <br /> RENIARKS: Nlease Notc:T City i espo ibl or structural defects in the side sewcr on the City RO�Y side per EMC k�fl�•ZG�!_� G'1 <br /> .._,. _ . �,.u:,. - <br /> ;',.' _":.a � �:..i <br /> _�4,,,,�� - p..... <br /> .._,�,y .._. _C�� :�. - '..,'� <br /> .... .... ._.. .._., . <br /> r:J y'�'i - <br /> —I�- �.,1:� <br /> INSNt[�l'LU Hl.. I UATG�. _ �`!;::� <br /> FEES <br /> Sewer Utility Fee $30.00 <br /> '1'O"t'AL FEI�:S $30A0 <br /> NERMIT NUMBER U1501-029 <br /> ADDRLSS COPY <br />