Laserfiche WebLink
, ... <br /> CITY OF EvERiET , <br /> UTILITIES <br /> PERMIT SERVICES <br /> - - <br /> 3200 CEDAR STREET <br /> ,-. ,.•-•",!;:a•-4 A.4,-=.;-::',-4y,,•:?•,',;•,:i;•'.',3 * - " <br /> EVERETT WA 98201 <br /> (42 )257 8810 <br /> PERMIT Mil‘liER 111$06-014 - , DATE: , 1 9,JUN-- 2018 : <br /> INSTALL 3421 R°c BACKWATERKE F E LLERAvvEA L v 2001100 Am. 818 <br /> JOB ADDRESS • - <br /> DESCRIPTION <br /> . , <br /> , .., <br /> OWNER PERSSON KEN TENANT <br /> 3421 ROCKEFELLER AVE SE ----, - <br /> ....._________ CONTRACTOR AA PLumBING LLC , <br /> E VE1tETI. • WA 98201 <br /> 8611 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PHONE : <br /> PHONE 4254890123 <br /> _ <br /> WATER-SERVeE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER 1O APPUGATIONNOSE1 SEE INSTALLATION 1)ATE BY <br /> IETERNO SIZE #1 BACEFLOW DEVICE SERIAL NO <br /> ' <br /> ER NO #2BACKFLOWDEVJCESERIALNO <br /> BRAND MODEL NO <br /> MErERISTALLATION DATE BY <br /> WATER ON_ OFF LOCKED OUT BY TSG <br /> REMARKS <br /> PEREIITNO <br /> SP-17728 - PERMIT TYPE ALTERATION LID NC' <br /> - - <br /> P.EifARKS Please Note The City is <br /> responsible for structural defects in the side sewer on the City ROW side per EMC 1408260 <br /> INTSTALL,BACKWATER VALVE <br /> INSPECTED BY f DATE <br /> FEES <br /> SEWER UTILITY FEE $3000 " <br /> . <br /> • • <br /> JUN 1 9 2018 <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES • $30.00 <br /> PERMIT NUMBER U1806-014 I <br /> ADDRESS COPY <br />