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i�TILITIES � -TY OF EVERETT <br /> PERMIT SERVICES <br /> �' PERMIT <br /> 3200 CEDAR 5TREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1708-063 DwTE: AU G �� I( <br /> JOB ADDRESS 2O 1 O COLBY AVE LEGAL DESCRIPTION <br /> DEscx�Tiorr INSTALL BACKWATER VALVE �'N� 00437042502800 <br /> owr�R . HULTMAN RANDALL LEE TENn�T <br /> 626 WETMORE CONTRACTOR AA PLUMBING LLC <br /> EVERETT WA 98201 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PHONE <br /> PHONE 4254890123 <br /> WATER SERVICE <br />. SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UMTS SERVICE ORDER NO. I APPLICAi70N NO. <br /> �.�Q <br /> SETTER[NSTALLATION DATE By � � � � � . � <br /> IvIETERNO. S1ZE #I BACKFLOW DEVICE SE2IAI,NO. � � <br /> RF.NQ � _ � { #2 BACKFLOW DEVICE SERIAL NO. <br /> B�� I MODEL N0. <br /> METER ISTALLATION DATE By - . <br /> WATERON_,OFF_ IACKEDOVC BY . � � �TSG <br /> REMARKS <br /> SEWER SERVICE <br /> PERtvIIT N0. � PE�T�E ALTERATION Lm NO. � <br /> REMARI{S: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> MSPECTED BY: . . . � � � I DATE: . � . . <br /> FEES �'� rP:. ._-.. ._ <br /> ; <br /> � � � y � <br /> SEWER UTILITY FEE $30.00 <br /> �u� � T 2ar� <br /> c��� ca����R��rr� <br /> Perir�it Servi�zS <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1708-063 <br /> ADDRESS COPY <br />