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UTILITIES <br />PERMIT <br />PERMII' NUMBER U1410-028 <br />Jos aD�aFss 1522 BAKER AVE <br />oEscxinT�oN SIDE SEWER REPLACEMENT <br />OWNER STEMPLE KYLE R <br />1522 BAKER AVE <br />EVERETT WA 98201 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: ] ��2 � �ZD ] 4 <br />LEGAL DESCRIPTION <br />APN: 00553631302600 <br />rrNnNT <br />CONTRACTOR OWNER <br />I YHONr <br />PI IONE <br />WATER SERVICE <br />SFHVICI: SIZE I SERVIC[ TYPE I FRONTAGE I NO. OF UO.00 I SERVICE ORDER NO. I APPLICATION NO. <br />SETTER INSTALLA'I'ION DATE <br />Iv�TER NO. . <br />BRAND <br />METER ISTALLATION DA7I: BY <br />WATER ON _ OF� LOCKED OUT BY <br />REMARF:S�. <br />BY <br />BACKI'LOW DEVICE SERIALNO. <br />MODGL NO. <br />SEWER SERVICE <br />TSG <br />� <br />IPERMIT NO. SP' I S26 / P[RMIT TYPE LID NO. � <br />REMARKS: Ylcase Note: The City is responsiblc for structural defeMs in thc side sewcr mi the City ROW side per EMC 14.08.260 . <br />�o � v��7 �� ��5,�-�� �' �� l � �� �� � <br />� _ � : ,,, <br />MSPECTEDBY: I DATE: _,. ,, . <br />FEES <br />Sewer Utility Pcc <br />7'OTAL FEES <br />$30.00 <br />$30.00 <br />PERMIT NUMBF.R U1410-028 <br />ADDRESS COPY <br />