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<br /> U UTILITIES ITY-OF EVERETT
<br /> , '� PERMIT SEizVICES
<br /> d PENT
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<br /> �y 3200 CEI3AR STREET
<br /> EVERETT,WA 98201
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<br /> DATE: ��� 7 A
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<br /> PERiVIi�`'�MB�R U1'�0$-040_' , ;> - r = _
<br /> JOB ADDRESS 1801 GRAND AVE LEGAL DESCRIPTION?
<br /> DESCRIPTION INSTALL BACKWATER •VALVE. APN. 00,43803r710.,0-1, 00
<br /> OWNER WALDO COLE L&DIANE L TENANT -
<br />~ P0 BOX 1617 CONTRACTOR AA PLUMBING LLC
<br /> GRANITE FALLS WA 98252 . 8611 VISTARAMA AVE
<br /> . EVERETT WA 98208
<br /> PHONE
<br /> .. PHONE 4254890123
<br /> ' WATER SERVICE, I
<br /> SERVICE SIZE - SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATIONNO.
<br /> 0.00
<br /> SETTER INSCALLATION DATE
<br /> ME • ,BY <
<br /> " TERNO3. f SIZE NI EACKI•LOW DEVICE SERIAL NO£-
<br /> - #2 BACKFLOW DEVICE SERIAL NO,
<br /> MODEL NO. ..-. .' .
<br /> � ,
<br /> METER ISTALLATION DATE -.BY
<br /> WATER ON_ OFF LOCKED OUT BY - TSG
<br /> . '.
<br /> SEWER SERVICE
<br /> I I.
<br /> PERMIT NO _ , PERMIT TYPE _I-LID NO. I'_
<br /> ALTERATION
<br /> REMARKS; •Please Note:The City is responsible for structural defects in the side sewer on.the City ROW side per EMC 14'08.260
<br /> INSPECTEDEY, _ DATE;,
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<br /> FEES
<br /> SEWER UTILITY FEE, ,, . , _ . , . ....- ,..._.:.- ' ,., . . ,.. - ...', i.'.-- ' '.‘ ,_. .-..-.-''_-. 'a
<br /> AUG 1'7 2017
<br /> •
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<br /> '-
<br /> C(Pe®F.EvERETT
<br /> Services
<br /> • TOTAL FEES $30.00
<br /> I(`PERMIT NUMBER U1708-040
<br /> - ADDRESS COPY
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