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PERMIT NUMBER U1605-011 <br />JOH ^°I�K�55 10131 MONTANA RD <br />�EsciziE�nc�rv SIDE SEWER REPAIR <br />°wNt':i� ROCK FRED <br />10131 MONTANA ROAD <br />UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CE:DAR STREET <br />CVERF.'1'T, WA 9820] <br />(425) 257-8810 <br />vATe j — � � ( �j <br />LEca� �Escx�PTioN RANCHO INTERCITY DIV 2 BLK 0 <br />^�'N 00552400701501 <br />rrNnNT <br />coNTkncToa MR ROOTER PLUMBING <br />EVERE'i'T' WA 98204 <br />2000 S 1 16TH ST <br />SEATTLE WA 98168 <br />�'11ON1- 4253595360 <br />E'11ONL 2066512917 <br />WATER SERVICE <br />SI�:NVI('I�. $II_F: I StRVICF. TYPE I FRONTAGE I y'O. OF O OO I SF:RVI('[ ORDE:R �O. I APPLI('A'll()� �(). <br />SETI'f:RINSTALLATION DATE <br />METER h'O. <br />R.F. NO. <br />BRA\'D <br />MF.TER IS7"ALLATIOV DATE BY" <br />\�'ATEN O� UF� LOCKEO OUT F3Y <br />H[�:MARKC'. <br />NI BACKFLO\4 DEVICE SERIAL NO. <br />A2 BACKFLOW DEVICE SERIAL NO. <br />MODEL 1.'O. <br />SEWER SERVICE <br />TSG ��.� i �� i_���i <br />, � ,� <br />-_ _ __ 1"" _.":i ��„��j <br />""� ._-+_ i �,i � <br />'T: � `r.._ _=� <br />"."� "" <br />! > _� <br />vek.�nrrNo SP-16655 i�ea�i��rvPe REPAIR �.iovo. ,�;,� i::�s: <br />r i = <br />RF:MAKKS: Please Notc: "1'he City is responsible for structural defects in thc side sewer on the City ROW side per EMC 14.08.2d(�] �-'� <br />_ }i? <br />:_�! II �_i� ... <br />"" °'t -� �.... <br />_ � 4�y �="� L^J <br />�. `. =� <br />- �f.� <br />--i J':�, �.i.� <br />fY' <br />INSPECTEU 13Y�. I DATE: �...._�. .(:-�. <br />FEiEiJ <br />Sew�er Utility Fee <br />'1�0'I'AL FEES <br />$30.00 <br />$30.00 <br />PERMIT NUMBER U1605-011 <br />AUDR6SSCOPY <br />