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.4 ler CITY OF EVERETT <br /> UTILITIES <br /> ,dd--"A PERMIT SERVICES <br /> -Iili PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1501-167 DATE: 1/29/2015 <br /> JOB ADDRESS 1 819 RUCKER AVE LEGAL DESCRIPTION <br /> DESCRIPTION BACKWATER VALVE APN: 00438037000900 <br /> OWNER DAGG GOSTA&CAROLE TENANT <br /> PO BOX 1230 CONTRACTOR AMERICAN SEPTIC& SIDE SWR LLC <br /> EVERETT WA 98206 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> PHONE <br /> PHONE 4257897296 <br /> I WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO,OF UNITS I SERVICE ORDER NO. I APPLICATION NO. <br /> 0.00 <br /> SEI I ER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF_ LOCKED OUT BY TSG rI-i •'°I u j <br /> r-a <br /> REMARKS: --•1 <br /> PR <br /> .74..-.1 rn rri <br /> I!7 ;2:3 ....:1 I-.a <br /> T'' <br /> �r <br /> L_4 <br /> SEWER SERVICE I5D ,. :I-` <br /> 1- <br /> i.. <br /> r <br /> PERMIT NO. SP-15602 PI:RMI'I'"TYPE <br /> ALTERATION ATION LID NO. p ;^i <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14,.2601_, rte--_ <br /> ,rhe y .r.o.Li"tom3 <br /> 0-•. r_.4,ter I:...N <br /> /4'(ice W&-7 -- `A,0:moi ry:i E; ,^-ra.? <br /> C--:I i'r1 Ir•d <br /> INSPECTED BY: I DATE: <br /> FEES I <br /> Sewer Utility Fee $30.00 <br /> IIfilli. <br /> 'i <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1501-167 <br /> ADDRESS COPY <br /> A <br />