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UTILITIES <br />PERMIT <br />NF,RMIT NUMBF,R IJ1512-032 <br />�oi3 A��rzrss 3406 FIOY'I' AVt; � <br />r>iscair�TioN WS"I�ALI, I3ACKWA'I'GR VALVG <br />���"�N�R E3ROWN LAINA RAE <br />3501 HOYT AVF <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200CEDAR S"iREGT <br />FVER['.I f. WA 98201 <br />(425) 257-8810 <br />t>n rt: � �i Z � '- � � <br />i.i:cn� r�r�sciiu��rioN EVERE:TT DIV A PLAT OF BLK 82�� <br />ni>N- 00436982403000 <br />T6NAN'I' <br />-� coN�rRnrroiz SIUGSGWGR <br />F.VF,RETT WA 98201 p0 E30X 137 <br />MUKIL�"EO WA 98275 <br />PtIONE <br />PH�Ni: 4257723400 <br />WATER SERVICE <br />S(:RVICF SII.L I SGRVICt 1'YF't I FRONTAGI: I NO. VI� UO loo I tiLRVICF ORDFR NO I APPI.I('ATION N() <br />SF.'f'I�ERINSTALLATION DATI�. 13Y <br />MF."fFR NO. __ ____.___ SILG_._ <br />RF.NO. <br />di H�ChI�I.()\Y I)I:ViCI: SF.RIAI. Nn .__ <br />q2 BACKFI.OW nGVI(l�: tiLRIAI. NO '. __ _ ___ .__ <br />MODEI. NO <br />�tETER ISTALLAI'ION DATL 6Y _._. <br />-- _ '"' <br />r�� .' °i ; �� ; <br />W'AT[RON OI�F LOCKL:DOUI'______ [7Y .___ ____ __ _ �S(i _ _ a;,7 .,. <br />_ — � <br />__ ._ _ _ . .__ __ . . i'-_; .d., <br />REM11ARt�S. ^i -i ` ^ <br />.r'y r"' r �� ' <br />1 <br />::27• 'l-�= ;-i <br />"�7 ml <br />.... =i'? �_._. <br />SEW F,R SERVICE `' '-'�? `'`' <br />r..i <br />r.:_s <br />i�ia,,u,n�o SP-16461 ri.Rnn,,vre AL"I'ERlA"I�ION �.�unu ,��;6 :`�; <br />REMARKS: Plcasc Note: "1'he City is responsiblc for structural defects in the side scrver on the City ROW side per EMC 14.08.3� ''' <br />�H�s � .f-(.F .._ <br />i._N _+J <br />� <br />' ;,m,t e–� <br />.. _� 4m�] �.-_. i��i <br />-i � "� �N.. �, <br />� �..:! �:7-. <br />I DATC:: , .� t; 7 <br />INSPF.C'I�ED BY: ' <br />FEES <br />Sewer Utility Fee <br />1�07',�L FGt?S <br />$30.00 <br />$30.00 <br />PI?RMIT NUMI3ER U1512-032 <br />nnnREssco�v <br />