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UTILITIES CITY OF EVERETT <br /> PERMIT <br /> SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1608-025 DATE: <br /> JOB ADDRESS 2105 MCDOUGALL AVE A LEGAL DESCRIPTION CAPITOL HILL ADD BLK 441 D-00 <br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00401544100300 <br /> OWNER FLAKE THOMAS J TENANT <br /> 5022 33RD AVE W CONTRACTOR AA PLUMBING LLC <br /> EVERETT WA 98203 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PI IONF. <br /> PHONE 4254850123 <br /> WATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATION DATE _ BY <br /> METERNO. _ SIZE _ #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. _ 42 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 /> PERMITNO. SP-16802 PERMIT TYPE 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: DATE: - <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> AUG 11 20.6 <br /> CITY OF EVERETT <br /> 'I'OTALFEES $30.00 Permit Services <br /> PERMIT NUMBER 01608-025 <br /> ADDRESS COPY <br />