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UTILITIES CITY OF EVERETT
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<br /> • PERMIT SERVICES
<br /> DURiviTT
<br /> i _L, ii 3200 CEDAR STREET
<br />- EVERETT,WA 98201
<br /> (425)27-88i0
<br /> PERMIT NUMBER U1809-006 DATE- I) 4 SEP 2018
<br /> JOB ADDRESS 3629 WETMORE AVE LEGAL DESCRIPTION
<br /> DESCRIPTION INSTALL BACKWATER VALVE APN: 00872500000100
<br /> OWNEI2 '.-'
<br /> Pr,RRY JENNIFER TENANT .:
<br /> 3629 WETMORE AVE UNIT A
<br /> CONTRACTOR AA PLIJMI3ING LLC
<br /> EVERETT WA 98201
<br /> 8611 VISTARAMA AVE
<br /> EVERETT WA 98208
<br /> PHONE 4254890123
<br /> WATER SERVICE , I
<br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDEIL NQ APPLICATION NO
<br /> 0 00
<br /> ELI IER INSTALLATION DATE BY
<br /> METER NO.. SIZE #1 BACKFLOW DEVICE SERIAL NO ,
<br /> R F NO it2 BAC1CFLOW DEVICE SEFIG‘L NO
<br /> METER ISTALLATION DATE BY
<br /> WATER ON OFF LOCKET)OUT BY TSG
<br /> REMARKS
<br /> SEWER SERVICE I
<br /> Il'ERMIT isl° SP-17819 PERMIT TYPE ALTERATION 1 Lu''14°
<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 /> INSPECTED BY DATE
<br /> FEES
<br /> SEWER UTILITY FEE $30.00 se(La
<br /> EP4 2018
<br /> ...
<br /> CITY OF PEVER erni
<br /> ETT
<br /> TOTALFEES $30.00 it services
<br /> ,I PERMIT _NUMBER U1809-006
<br /> ADDRESS COPY
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