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PERMIT NUMBER U1606-054 <br />.io�,aDDx�ss 3417 LOMBARD AVE <br />��scRiN�noN SIDE SEWER REPAIR <br />owNE:a ORT STEPHANIE D <br />3417 LOMBARD AVE <br />EVERETT <br />E'� i°NF 2532557902 <br />UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: ^ [� L --C � <br />LLCAi. UEscRiPTioN EVERETT DN E PLAT OF BLK 818 <br />APN 00437381800900 <br />WA 98201-5034 <br />rrNnrr r <br />coN�rkncloR ROTO ROOTER SERVICES CO <br />101 1 l South Tacoma Wa Ste D-1 <br />TACOMA WA 98499 <br />I � �'F1ONL 2063553453 � <br />WATER SERVICE <br />SERVICEJI7_E SERVICE-I'YPG I PROVTAGF. I VO.OF�O.00 I $ERVlCEORDERV'O. I .APPLIC.4TI0�\'O. <br />SETTER 1'.VSTALLATlOh DATE <br />VIETER \�O. <br />R F. VO. <br />BRA\'D <br />1AETERISTALLATIO\'DATE p}� <br />\4A"(ER ON __ OFF LOCKED OUT _ BY <br />RFMARKS <br />a1BACKFI.OW DEVICE SERfAL\O. <br />#2 RACKFLOW' DEVICE SERIAL NO. <br />MODEL VO. <br />SEWER SERVICE <br />, <br />�...;._. „-��I'�_ <br />TSG `.a., ._. <br />_. <br />:._._�. ::�:_ ��. : . : <br />� <br />__'i ::.'., ., � 'i <br />�„ �d ��"i <br />I PI:RMIT NO. SP'� 6/ I�-F PERMIl"fVPF. REPAIR f.ID NO. '�y'�i <br />i <br />t��,��. <br />i .'...i <br />RI;MARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.Q�2Yrd' _; ,:,. <br />,:_: , <br />,i _ , ^ <br />RGPAIR SIDE SEWER �:.::::� �"�� �:.:.:: <br />�. „� <br />.__... ��n�r} ._.... _ i._�'1 <br />: �... ....., r.'_a ,. :� <br />, . ....:i �C_:.x �.....,. <br />. _, .., .., <br />._...I �. � I ... <br />_ ;;j <br />I^1SPECTFUBY: I DATE'. � " ��� <br />FEES <br />SEWER UTILITY FEE <br />TO"I�AL FGF;S <br />$30.00 <br />$30.00 <br />PERMIT NUMBER U1606-054 <br />nUt�Kt:ss coi�v <br />