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i��II.ITIES �y OF EVERETT <br /> PERMIT SERVICES <br /> � PERMIT <br /> 3200 CF,Df\R S'IREGT <br /> EVHREI�I-. WA 98201 <br /> (425)257-8810 <br /> PERMITNUAIBER U1708-055 °ATE I� � �'"' <br /> , <br /> .ioii�i�i>ai,.ss 2605 GRAND AVE i.�ca��escxiPrioN <br /> nf:sckii�ru>N INSTALL BACKWATER VALVE A�''� 00439 1 6 1 50030 1 <br /> owNra LYTTON DANIEL rr:�Anr <br /> PO BOX 684 <br /> coN�rKncroR AA PLUMB[NG LLC <br /> MUKILTGO WA 98275 <br /> 861 I VISTARAMA AVG <br /> EVERL;�1'T WA 98208 <br /> i�i ioNi: <br /> �>�1ONL' 4254890123 <br /> WATER SERVICE <br /> SI`IiVI('I',till.:' SERVICE TYPE I FRO\TAGE VO.OF UVITS tiERVICE ORDER\O. APPLICATION\'O. <br /> �.�� <br /> SETTERI\ST.ALI_4T10\DATF. BY <br /> \1FTtR\O. SIZE e�gqCkFtO��'DE�iCE SERI.AL\O. <br /> R.1�\O. q2 BACICFLOII'DEVICE SERIAL\O. <br /> ftRA�D ._.___ _ . \tODEL v0. <br /> \11�I'ER ISTALLAl�lO.\�ATk: BY <br /> NATERO�' OI�I� LC)CF:GDOI;T f3Y 'I'SG <br /> RI:MARKti�. <br /> SEWER SERVICE <br /> Nta��u�rv�o i�cii��rrrvrr: ALTERATION �1D�o <br /> RG�IARKS: Please Aote:The City is responsible for structural de1'ccts in ihe sidc se�r�er on the City ROW side per G�1C 14A8.2G0 <br /> f�'SPEC'fLU 13Y�. <br /> I D.\TF... <br /> FEES <br /> Sh'WER U"I�ILI'�Y Plit? $30.00 <br /> ���-� ���� <br /> ��„ � � � r,,� <br /> � � <br /> �;�G � 7 zo1� J <br /> �io�rni.rH.H.s $so.00 ��[TY ��F �'��R�;.�,�" <br /> !'crmit '..� <br /> PERMIT NUMBER U1708-055 <br /> n�u�zi�:ss coi�v <br />