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x4{ UTILITIES CITY OF-EVERETT <br /> f ,-----;:,,--:,,,t,,,,,, PERMIT SERVICES. <br /> -i,..„,„-,_.... *i - a� PERMIT 3200 CEDAR STREET <br /> . „` ` .' EVERETT,WA 98201 <br /> (425)2574810 <br /> PERMIT NUMBER t1,1806-024 .: DATE <br /> _ r _ 1 9 JUN <br /> JOB ADDRESS 4012 RUCKER AVE LEGAL DESCRIPTION <br /> DESCRIPTION INSTALL BACKWATER VALVE APN.- 00578800504400 <br /> OWNER DAVIES MICHAEL K TENANT <br /> 4012 RUCKER AVE -CONTRACTOR AA PLUMBING.LLC <br /> EVERETT WA 98201 • 8611 VISTARAMAAVE <br /> EVERETT•. WA 98208 <br /> PHONE <br /> PxorrE 4254890123 <br /> WATER,SERVICE' ..... . , , •�I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS" - SERVICE.ORDER NO APPLICATION NO <br /> SEAERINSTALLATION DATE BY <br /> METER NO SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> RF NO _ #2 BACKFLOW DEVIL&S,ERIALNO ` <br /> BRAND MODEL NO. <br /> MET ER ISTALLATION DATE `BY <br /> WATER ON_ OFF_ LOCKED OUT' BY TSG <br /> BenrnRT{s <br /> ISEWER SERVICE I <br /> PERMITNO. .SP-17738 PERMIT TYPE . ALTERATIONI,•LID NO. I,_ <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. I DAA. <br /> _ PEES . . <br /> SEWER UTILITY FEE $30.00 <br /> t T) . <br /> J1,1N 19.2018 <br /> TOTAL FEES $30.00 . CITY;QF EVERETT <br /> Permit.Services. <br /> IPERMI-T NUMBER U1806-024 I, <br /> ADDRESS COPY <br />