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UTILITIES <br />PERMIT <br />PERMIT NUMBER UI606-028 <br />�osaDDREss 5311 W HIGHLAND RD <br />D�.scxiP�rioN SIDE SEWER REPAIR <br />°wNi'R KOSS TIM & KATHY <br />531 1 W HIGHLAND RD <br />EVERETT WA 98203 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVEI2ETT, WA 98201 <br />(425) 257-8810 <br />DATE: � � ,_� � <br />LEGai.DEscx�P�rioN HIGHLAND FARMS 2 BLK 000 D-Oi <br />APN: OO4%190OOO1SOO <br />TENANT <br />coN�rRnc�ox SOUTH WEST PLUMBING <br />2401 SW ALASKA ST <br />SEATTLE WA 98106 <br />i>FioNr I <br />PHONE 206932 �'777 <br />WATER SERVICE <br />SERVICC SIZF. � SERVICE TYP[ I fROhTAGE I NO. OF OI OO I SERVICE ORDER NO. I APPWCATION NO. <br />SETTEAfNSTALLATiON DATE <br />NETER NO. <br />RF. VO. <br />BRAND <br />METER ISTALLATION DATE <br />WATk;R ON __ OFF IACKED OUT <br />REMARKS: <br />Psa�rr no. <br />R[:MARKS: <br />INSPECTED BY: <br />BY <br />BY <br />BY <br />#IHACKFI,OW DEVICE SERiALNO. <br />#2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />SEWER SERVICE <br />....�.� � _ <br />�:;� �� � � ��. <br />TSCI L ':;r7 r.� .. � <br />� '--',i w�c <br />,'.......� � <br />'" J:J <br />� �� i` " 4'�`1 <br />::;C:• -' '�:� � <br />SP-16696 PL'R,YIITTYPE REPA[R I LIDNO. ��° <br />✓ ��'� � <br />',,�.,:�. <br />Please Note: "1'he City is responsible for structural defects in the side sewer un the City ROW side per EMC 14.Q$�26f� ,,.,.; <br />H �_ „a <br />�'S �r.Y <br />u�� v <br />..:. �'�� .._.. <br />Sewer Utiliry Fee <br />7'O"1'AL FEES <br />$30.00 <br />$30.00 <br />FEES <br />DA7E: <br />PERMIT NUMBER U1606-028 <br />ADDRESS COPY <br />