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PERMIT NUMBER U1605-004 <br />�oB ���R�ss g301 XAVIER WAY <br />��,scrz�PTioN SIDE SEWER REPAIR <br />°wN�R SCAREY THOMAS P <br />8301 XAVIER WAY <br />EVERETT <br />UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: �5��3�2� 16 <br />�Ecni.UescR�PrioN BEVERLY VIEWLANDS DIV 1 BLK <br />APN: 00394100301500 <br />WA 98203-6622 <br />I'ENANT <br />coNTRnc�ro�i NW SEWER & DRAIN <br />P.O. BOX 55573 <br />SEATTLE WA 98155 <br />I YI IONF. I I <br />i'i�°Ne 2069317728 <br />WATER SERVICE <br />SERVICE SIZE I SF.RVICE TYPF FRpVTA(il�. VO. OF U�lITS SERVICE ORDER ti0. APPLICA I'10\' \O. <br />I I �.�� I I <br />SETI"ER I\'STALLATfO� DATE <br />�1ETER \O. <br />R.F. VO <br />iY1ETER ISTALLATIOti DATE BY <br />WATERO\_ OFF LOCKEDOIfT BY <br />R[MANI�S�. <br />BY <br />i!I BACKFLOW DEVICE SERIALNO. <br />N2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL M1O. <br />SEWER SERVICE <br />l"� <br />r'`t "� i'-; <br />TSG _aJ ^ '.-, , <br />�.._� __�:: r' d <br />�,� <br />"'"i . <br />4 � ^-I _ � t <br />I _" j_:r� ' <br />_S_'. :j::__ `I <br />>n � r; <br />� <br />::_�.� "a': �._._. <br />f'LIi�11i�N0. SP-�66SO PCRMII"I'YPG I LID`JO. 'I�';�' <br />REPAIR , <br />i,�d <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.Of�.2�'0� ,_�� <br />_�i <br />" �* ��^� , �� <br />� <br />4 i 4����t �'-a <br />IM1SPECTED BY' <br />Sewer Utility Fee <br />TOTAL FEES <br />$30.00 <br />$30.00 <br />FEES <br />DATE: <br />i:'.:'� <br />; <br />� <br />; �-i <br />i___. <br />I`.�t <br />�i n <br />�'.�7 r'_YI:.�J <br />�-�-1 _C:. •.a :� <br />PERMIT NUMBER U1605-004 <br />ADllRIiSS COPY <br />