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� �ILITIES C 'Y OF EVERETT <br /> G� PE <br /> RMIT SERVICES <br /> "' �' PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERM[T NUMBER U1611-043 DATE: <br /> �os a�DrzEss 2120 CEDAR ST �EGaL oEscRiPT�oN INNESOTA ADD BLK 447 D-00- : <br /> DEscai�rloN INSTALL BACKWATER VALVE ^PN OOS16444702300 <br /> °wN�'k DAVIS DENISE L TLN^N� <br /> 2120 CEDAR ST coNTRacTOR <br /> EVERETT WA 98201-2533 AA PLUMB[NG LLC <br /> 861 1 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PHONL <br /> r'�i�Ne 4254850123 <br /> WATER SERVICE <br /> SHRVICESV'.G SHRVICETYPG fRONTAGli NO.OFUNITS SERVIC80RDEHNO. I APPLICATIONNO. <br /> �.�� <br /> SETTER I�STALL.4T10�'DATE BY <br /> 41ETERNO. SIZE #IBACKFI.OW DEVICE SERIALNO. <br /> R F.h'O. _ q2 BACKFLOW DEVICE SERIAL NO. <br /> FIRAND __ MODEL NO.___ _ _ . ___ <br /> .UiETER ISTALLATIOti DATE �V <br /> WAiF.RO�J OFF_ LOCKEDOU'f _ I3Y TSG <br /> RfSMARKS: <br /> SEWER SERVICE <br /> 1'ER.MITM1(). SP-1 /OOI PERMITTYPE ALTE�TION �-ID.JO. <br /> REMARKS: Please tiotr.The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: I DATE: <br /> FEES <br /> 3`�; <br /> ��� e� l..%'at S�.'•'= i f'1, 1 <br /> SEWER U7'ILITY H'EE $30.00 �� ��'�` � 6�� '� "�""� <br /> p ' + � d <br /> �� P�Q�i 17 �016 �l <br /> ,,.x� �, QF - <br /> ��'°r+nit ,'EVERF_ �,. <br /> Serv� Tp <br /> I'O"1'nL FEF;S $30.00 C�S <br /> PERMIT NUMBER U1611-043 <br /> ADDRESSCOPY <br />