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UTILITIES <br />PERMIT <br />PERMIT NUMBER U1607-036 <br />�o� nDi�rii.ss 1456 MADRONA AVE <br />�Esc�z�PT�oN SIDE SEWER ALTERATION <br />°`�'N�« MORRISON ANNE L <br />1456 MADRONA AVE <br />EVERETT WA 98203 <br />PI IONI: <br />SERVICESI(t I SERVICF.TYPh <br />SETTERINSI'ALLA'I'ION DATE gy <br />METER NO. . _ $ 'V.E <br />RF.NO._ _ <br />BRAND <br />METER I$'I'ALLATIO\' DATG gy <br />WAT[RON _ OF�I' LOCKEDOUT BY <br />REMARKS: <br />CITY OF EVERETT <br />PERMIT SEI�VICES <br />3200 CEDAR STREET <br />CVERETT, WA. 98201 <br />(425) 257-8�810 <br />DATE: � -%[�7,.. � 10 <br />�—v <br />LFGnL �escxrPrloN LOT TH N46*28 4_`>E 99.20FT TO NE <br />AI�N OOSOS7OOOO�SO1 <br />TF;NANT <br />CONTRACTOR OWNER <br />� NtiONE <br />WATER SERVICE <br />FRO!:TAGE I NO. OF UMTS <br />Q.�� <br />NI �ACKFLOW DEVICE SERIALNO. <br />#2 I3ACKFLOW DEV]CE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />SERVICE ORDER ^O. � APp�,�('p'�'�ph V'p. <br />TSG <br />J <br />PEaMiT�°. SP-16753 PER""TrwE ALTERAT[ON I L1DNO <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per E�ti1C 14.Q8.26(i .,_. <br />WSPL:CTED 13Y' <br />SGWGR UTIL.ITY FEE <br />$30.00 <br />TOTAL FEES $30.00 <br />DATE' <br />�� <br />PERMIT NUMBER U1607-036 <br />ADDRL-'SS COPY <br />