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PERMIT NUMBER U1605-031 <br />�oii nu��izFss ;331 HOYT' AVE <br />oi.sckii>rioN SIDE SEWER REPAIR <br /><�wrv�:a BECKLEY TYLER <br />3331 HOYT AVE <br />EVERETT <br />UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 C}�.DAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: OS�2%�ZO�E> <br />LECA� �EscRi�rioN EVERETT DIV A PLAT OF BLK 79( <br />^PN 00436979001600 <br />WA 98201 <br />I'GNAN"I' <br />coN�rancroii AA PLUMBING LLC <br />861 1 VISTARAMA AVE <br />EVERGTT WA 98208 <br />i>i�otit: I <br />�H°N� 4254850123 <br />WATER SERVICE <br />CERVICESIZE St�:RVICF,TYPE I I�RUNTA(iE I NO.nF`OI.IOO I SERVICI�:OIiDC:RNO. I APPLICATIONNO. <br />Sf�:l l ER I\'STALLATIOi� DATE <br />V7L:TF.R \p. � <br />Eir no. <br />E7RA�U <br />�ILT[iR IS"fAI.I.ATION DATE qy <br />wnrr,k o� __ orr _ i.ocheo ou r_ _ yv <br />RI:M41iKS. <br />YL:ItMI'I' N(). <br />REMARKS: <br />I�'SNI�:CTED B}'�. <br />BY <br />#1 BACF:fLO1V DEVICE SFRIAL\O. <br />#2 BACKFLOW DEVICE StRIAL NO. <br />MODEL VO. <br />SEWER SERVICE <br />.�`} ,,:,d : :::i <br />TSG -'-' ! - <br />„ r_:..., <br />. ___. . _ .— �"1:- „�„e <br />4--i � . <br />.--j u <br />.Y5 _� 11".) <br />�J I""" �"�..� ' _ <br />''�.... ' _'� <br />.... . -. 1-.._' <br />SP-16f)7� reaMrrrvr� jZEPAIR I uoNo <br />Please Note: '1'he City is responsible for structural defects in the side sewer on the City ROW side per EMC 1 <br />Sewer Utility Fee <br />T07',1I. Ff�;N:S <br />$30.00 <br />$30.00 <br />FEES <br />DATE: <br />ii;i�i� <br />r , i '::: <br />.-�..: <br />��f.F��'� .�:F:• , <br />r" - <br />__ ';;:� ._.. >> — <br />-, �� , — <br />� . _,� __'} <br />PERMIT NUMBER U1605-031 <br />ADDRESS COPY <br />