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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT. WA 98201 <br />(425)257-8810 <br />PERMITNUMIIER U1511-010 <br />i <br />DATE 11/3/2015 <br />J(at ADDRESS 3510 HOYT AVE <br />LEGAL DESCRIPTION FRIDAYS IST ADD TO EVERETT t <br />DESCRIPTION SIDE SEWER REPAIR & INSTALL BACKWATER VALVE <br />APN 00451400502800 <br />OWNER ALLARD PALL <br />TENANT <br />CONTRACTOR <br />AMERICAN SEWER CORPORATION <br />3510IIOYTAVE <br />EVERETT WA 98201 <br />8822196T•HSTNE <br />ARLINGTON WA 98223 <br />PHONE 4253085542 <br />PROVE <br />4257896619 <br />\ A*I*EH SER\'ICE <br />SCRYICE92! <br />I <br />SLR\ICC TYPE <br />I iY0WALC <br />'O Of UvRa _ <br />0.00 <br />I S[R\iCL ORDCV AO <br />I Avvl iC+P.,.-e <br />U..MKINDALLAT"DATE <br />BY <br />METED NO <br />spv <br />M aADEVICE SERIAL <br />R'"Mo. <br />•C BACKI`LOHENCE SfXML Iq <br />I <br />- <br />R R NO <br />PRAND <br />MODEL NO <br />Mk TER HTALLAMg DATE <br />BY <br />�YATER ON OfF_ LIXT:row-- <br />BY <br />TSG <br />.,MARKS <br />l , F ' IA <br />SEWER SERVICE c <br />� <br />14 r <br />ell <br />SP-16414 rcxADt rn: ALTERATION <br />DMD <br />for defects ill the side serer on the IN IIOw side per ENIC 14.08.20 <br />I�+i <br />ItF)I \RRS! Illease Note: T'lle City is responsible structural <br />LJ r <br />L•� <br />Cr�/�.: <br />G� " a <br />t-• <br />CrrJt <br />c�oru <br />K-1 vt <br />L-•Ki <br />FEES <br />Sewer Utility Fce S30 00 <br />TOTAL FEES $30.00 <br />PERMIT NUMBER U1511-010 <br />ADDRESS COPY <br />