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ILITIES <br /> � TY OF EVERETT <br /> PERMIT SERVICES <br /> E "��T PERMIT <br /> 3200 CEDAR STREIiT <br /> EVLRE"CT. WA 98201 <br /> (42�)2�7-8810 <br /> PERMIT NUMBER U1708-059 <br /> UA'1'E: �71°!'�°Vi �.�:k��E <br /> ioa a��R�ss 2702 21 ST ST �E�ai.���scR�PTion <br /> r�Hscx�rTioN WSTALL BACKWATER VALVE ��'N 00553101600100 <br /> owN�R JOHNSON SHAWN J r�tiAvr <br /> 2702 21 ST ST coNTanc�roa <br /> EVERETT WA 98201-2506 AA PLUMBWG LLC <br /> 86( I VISTARAMA AVE <br /> EVERETT WA 98208 <br /> i>i iorvi�: <br /> �'����^�� 4254890123 <br /> WATER SERVICE <br /> SGR�'ICI:SIZE I SER�'ICF T}'rF. I I�R0ITAGE ti()Ut�L-\ITS I S[RVI('1_()RDGR�() I nPf'LIC.4TI()��U <br /> 0.00 <br /> Cl:l'7'ER iV57'AI.LAI'IOV DATL 8Y <br /> �IEItR\O. 11%L "I B:\l'KFLO\1'DE��ICE SERIAL\'O. ___ <br /> R.I�.\'O. ��'L3ACKFLON'DE\'ICE SERIAL NO. <br /> f7RA�'D �IpUEL NO. <br /> \1ETERISTALLATIO\DATE BY <br /> WAT[�:RO� ()f�F I.00I�tDOUT 6Y 1'S(i <br /> RG�MARIkS'. <br /> SEWGR SERVICE <br /> i�r:awT�o Pr;a��rr rvrr; ALTERATION uu�u <br /> R!?MARKS: Please�ote:'1'he City is responsiblc for structural defects in the side sewer on the(:ity ROW side per FMC 14.08.2fi0 <br /> I\'SPFCT[D B7: DATE. <br /> FEES <br /> SEWER UT1LI'iY FEE $30.00 <br /> �� <br /> �; �;� � ,� 1__., <br /> � � � �� 1� <br /> � <br /> ��` AUG 1 1 2017 ��� <br /> � � , <br /> ��, <br /> ��'d`��' �F ,�;�,r��a J-�._,_. <br /> 'f07�A1,FF,E5 �a30.00 __,,, � ti_. . + r <br /> ;� iC. . <br /> 1'ERMIT IVUMBF.R U1708-059 <br /> ��Ul)RI:SS COPY <br />