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� � CITY OF EVERETT <br /> � 4 UTILITIES <br /> £ PERMIT SERVICES.: <br /> ' f PE ,1; 3200 CEDAR STREET <br /> ` ., -,T,PYA98- <br /> (42�257.,8810 <br /> PERMIT NUMBER U1810-009 DATE' O Oo4.6 <br /> _ <br /> JOB ADI)RESS 91'7 WALL ST LEGAL DESCRIPTION <br /> DESCRIPTION '_INSTALL BACKWATER VALVE APNN 00437267602503 <br /> OWNER .ATTERtSON STEPHEN R,. '' TENET <br /> 12708 SUNNYSHORES RD CONTRACTOR AA PLUMBING LLC <br /> MARYSVILLE WA, 98271 8611 VISTARAMAAVE <br /> EVERETT' WA 98208 <br />;! PHONE <br /> PHONE 4254890123 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE -:NO.OF UNITS "'- SERVICE ORDER NOAPPLICATION NO ..•. <br /> 0.00 <br /> SE11LK INSTALLATION DATE BY <br /> METERNO: '.;:' SIZE. #1 BACKI LOW DEVICE SFRIALN,O. <br /> E F:NO - "�#28ACKFLOWDEVICE SERIAILNO. <br /> BRAND .MODEL N05 -- <br /> -METERISTALLATION DATE'- <br /> NATER ON ' OFF .LOCKED OUT ER TSG, <br /> REMARKS: ,, - ._ <br /> SEWER SERVICE <br /> PERMITNO: ,_$P-17845 PERMITTYPE :LIDNO. - <br /> 1 Q4J 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 /> INSTALL BACKWATER VALVE <br /> INSPECTEDBY: - .DATE <br /> FEES <br /> SEWER UTILITY FEE $3,0.00 <br /> ' ' <br /> OCTQ92018 <br /> TOTAL FEES $30.00 CIT Y OF <br /> Pe cERET <br /> IPERMIT NUMBER -` U1810-009 ., <br /> ADDRESS COPY <br />