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PERMIT NUMBER U1607-003 <br />�os aDDRLss 2511 STH ST <br />�rscRiYrioN S1DE SEWER REPAIR <br />owNEx MALONE TIMORY <br />251 1 STH ST <br />EVERETT <br />UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR S7'REET <br />EVERETT. WA 98201 <br />(425) 257-8810 <br />DA'IE: ,,.. _ r <br />LEGn� DFscxinTiorr Section 8 Township 29 Ran�e 5 Ouai <br />AYN: 00497100001600 <br />WA 98201 <br />TENANT <br />corrTRncroR SAM'S SEPTIC SOLUTIONS <br />4816 144TH DR SE <br />SNOHOMISH WA 98290 <br />� i�i�oN� I I <br />�Fi°NE 4255125384 <br />WATER SERV[CE <br />SERVICE 51/.F. � SP.RVICE 7'YPF. � FRO\TAGE <br />SETTERINSTALLATION DATE gy <br />MF.TER NO. <br />R F. V O. <br />BRA.\'D <br />'v1ETER ]STALLATION DA'I'[ �y <br />NO.OP l:M1l"fS <br />Q.�� <br />#7 BACKFLOW DEVICE SERIALNO. <br />N2 BACKFLOW DEVICE SGRIAL NO. <br />�AODEL \O. <br />SERVICE ORDER NO. I APPLICATIOV NO. <br />��..: ,,,.,.,; ;:"��_,� <br />�. _", : �. _; t <br />WATERON__ OFP LUCKEDOUT BY -� „ -��- <br />�SV r� ,; <br />._ _ _� .` t }-7 �,..i,� <br />_...� � <br />RC4fARKS: .�..:". ...._I C.i.-J <br />I.. ..i : �_. �..�..� -... <br />SEWER SERV[CE - <br />i��:R�iTno SP-�6�2� PGRMITTYPF ALTERATION ���vo. <br />RE�IARKS: Plcase Note: Thc City is responsible for structural defects in the side sewer on the City ROW sidc per EVIC l4 0$ 2150 ,:. <br />;::+ <br />...... <br />... <br />;..,_. <br />INSPECTEDBY: DATE: �'-�-" -= ' <br />SEWER UI�ILITY FEE <br />"I'OTAL FE�:ti <br />$30.00 <br />�30.00 <br />FEES <br />PERMIT NUMBER U1607-003 <br />an�K�ss coPv <br />