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�'� UTILITIES CITY OF EVERETT <br /> ` PERMIT SERVICES <br /> �n' PERMIT <br /> 3200 CEDAR STREE"T <br /> EVERETT, WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1703-014 DATE: <br /> JOB ADDRESS I S I Z Z I ST ST LEGAL DESCRIP"I fON <br /> ��scxiPrioN [NSTALL BACKWATER VALVE A�'N 00437043403102 <br /> �wNER STAHL DAVID A&GIBSON LACEY J TENANT <br /> 1512 21 ST ST coNTaa,cTOR AA PLUMBING LLC <br /> EVERETT WA 98201-2807 g611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PHONE <br /> i>»oNL 4254850123 <br /> WATER SERVICE <br /> SERVICF SIZE SERVIC6 TYPE FRONTAGE NO.OF LO,OO SERVICF ORDER TO. I APPLfCA'PION�O. <br /> SETTEAINSTAf.LATION DATE _ BY <br /> MtTER t`O- SIZE #I BACKFLOW DEVICE SERIAL VO. <br /> R.F.NO. #2 BACKFLOW DEVICE SEHIAL NO. _ <br /> �3kpNp__ MODEL NO ._ _ _ <br /> �tEI'ER ISTALLA'I'IOV DAlT BY <br /> WATERON_ _ OFF LOCKEDOlI'i __ 6Y __ TSG <br /> I2�MARKS'. <br /> SEWER SERVICE <br /> PERMITtiO. SP-l^71 7�7 PER�tITTYPE ALTERATION ���DNO. <br /> 1/1 1 / <br /> RCMARKS: Plcase Note:"I'he City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> ;'�l,�,�� _4�y1� <br /> / <br /> � I DATE'. ` �/ �� <br /> I!�'SPECTED BY'. <br /> FEES <br /> SEWER UT[LI7'Y FEE $30.00 ���� <br /> MAR 10 2017 <br /> CITY OF EVERETT <br /> To��.a�.FEEs $30.0o Fermit Services <br /> PERMIT NUMBER U1703-014 <br /> nDDRESS COPY <br />