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CITE OF AVE ®� TT <br /> UTILITIES - <br />} E if F R E T ?' : PERMIT` SERVICES <br /> WASIi1-NGiTON P-NIT <br /> 1J <br /> 3200'CEDAR STREET <br /> ` RETT,WA 98.201 <br /> EVE <br /> (425)257 8810 <br /> PAERIIT,NUMBER r U2001-028 DATE <br /> JOB ADDRESS ?: 2302'GRAND,AVE LEGAL DESGRiPTIOI3 <br /> DESCRIPTION SIDE:SEWER REPAIR 00439148603100` <br /> O- i0VICTCt,iposIm :pANK,E LI 14Akt <br /> 2301 GRAND AVE - . r CONTRACTOR :BEACON,PLUMBING <br /> EVERETT. WA; 98201 86.1;1 S 192ND ST <br /> KENT- WA 9803.1' <br /> PHONE <br /> P�o� 2067202040. <br /> I - <br /> 'WATER SERVICE. <br /> SERVICE SIZE SERVICE7YPE�- FRONTAGE '� NO OF UNITS SERVICE.ORDERNO ..APPLICATION NO <br /> SETTER INSTALLATION DATE BYE- - - - - - - <br /> METER NO. " > SIZE _;NIBACKFLOW DEVICE-SERIALNO _ <br /> RF NO - _ - #2BACKFLOWDEVICESERIALNO; - _ - <br /> E TER'ISTALLATION DATE' <br /> ‘.-1-'7'; ‘1'77' <br /> ATERNOFF :-„LOCKEDOIJT -BY • <br /> TSG <br /> REMARKS: - - - <br /> ” Hca <br /> I - _ . .,._ . S,RWER FRYICE y. r 'al ... <br /> ire <br /> PERMITNO. - PERMITTYPE REPAIR M1 LIDNO -!'•J - <br /> REMARKS. Please Note The:City is responsible for structural defects In the:side sewer on theClty ROW side per EMC 1'4 082 L? <br /> SIDE SEWER REPAIR • c�_-s'e ' <br /> I-x <br /> I}{SPEC'CED BY I ,LDATE I <br /> t <br /> s...__ _.r.. .. � .�,.._ ._.., r •. .. ._ ... ... _x r ..R. _ _.__• L.:_-_ __ _- . .. ..�._� .. -.... i.:.. ..._..vim <br /> SEWER UTILITY FEE $30.00 <br /> JAN 2 9..);ii� , <br /> :Ct YOFtyE <br /> TOTAL-FEES ` $30;°°. � ' . <br /> PERMIT NUMBER_ U2001 028 I ry <br /> ADDRESS''COP.Y <br />