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U�LITIES <br />PERMIT <br />PERMIT NUMBER U1611-008 <br />Joa ���ur-.ss 2304 JADE AVE <br />�FscaiP�rloN SIDE SEWER REPAIR <br />owNr:�z NORTH WIND INVESTMENTS LLC <br />1619 S LAKE STICKNEY DR <br />LYNN WOOD WA 98087-2035 <br />C�Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />�VER�TT, WA 98201 <br />(425)257-8810 <br />I DATE: / <br />�EcnL DEsc�Tiorr TE WA T TERRACE DIV NO 1 BI <br />ANN: 00595200003900 <br />TENANT <br />coNTaACToa AMERICAN SEPTIC & SIDE SWR LLC <br />2606 LARL[N DR <br />EVERETT WA 98203 <br />��HONr <br />�'Ei�N� 4257897296 <br />WATER SERVICE <br />SI:RVICI�: SI/I�: I SERVICE TYPE I �RONTAGE I NO. OF OI OO I SERVICE ORDER M1O. I AYPLICA7ION �O. <br />SETTER I�'STALLATION DATE <br />�.tETER !�O. <br />R.F VO. <br />BRAND <br />MCTf:215TALLATION D�TE <br />wn rea oN ___ orr �.ocKrn ouT <br />REMARKS. <br />BY <br />ev <br />8Y' <br />#1 BACKFLOW DEVICE SERIAL\O. <br />k2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />�._:'_ �.�„'' i. i�1 <br />TSG -"'� - - <br />�.....� �_ ;,�� <br />�--a ��n,o <br />.._...� �� <br />i,,�,_....i r �'i <br />J r._... i._�� - <br />�_i::� - i°.'�i <br />; "j <br />:::�., .... �� <br />�:::7 �:'i.'.7 �.....,,. <br />�::: � <br />PEa�rrn�o SP-16970 aekMrrrvi>t: REPAIR ���"o - <br />RE;�IARKS: Please \ote: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08,260�� =- - <br />� - <br />'�,:;} .>> _ <br />,--, , �_. _ , , :, <br />_. :_:.; �_..� <br />..._..� �_� �'_ <br />I�SPECTEDBY�. I DATG ,-�� _.! <br />FEES <br />S(iWER U7'ILfCY FEE <br />"1'O"1'AL FEES <br />$30.00 <br />$30.00 <br />PERMIT NUMBER U1611-008 <br />ADDRESSCOPY <br />