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� <br />� <br />�i���,�i1 <br />�JTILITIES <br />PERMIT <br />PERMIT NUMBER U1609-062 <br />Jos a�DxEss 2321 FULTON�E � � <br />�Fsca�P��iorr SIDE SEWER REPAIR <br />owrrFx SUDKAMP ANDREW & MARY ANN <br />2321 FULTON ST <br />EVERETT WA 98201 <br />�HONL <br />SERVICESIZE � SERVICPTYPE <br />SETTER�NSTALLA'iIOF DATE gy <br />�TEA NO. SiZE <br />RF.hO. <br />BRAND <br />METER ISTALLATIOY DATE gy <br />WATER O�' _ OFF _ LOCKED OUT _ BY __ <br />REMARKS: <br />�ITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />I DATE: � /�� vd� <br />-� <br />LEGai. �EscR�PT1oN OHIO ADD BLK 002 D-00 - LOT 23 <br />APN 00534800202300 <br />T�NANT <br />CON'CRACTOR <br />I PHONG <br />WATER SERVICE <br />FRONTAGE I NO.OFUNITS <br />�.�� <br />ZURCHERS BULLDOZING & EXVTN <br />12999 THOMPSON RD <br />ANACORTES WA 98221 <br />3602936497 <br />#L BACKF[AW DEVtCE SERIAL NO. <br />N2 HACKFLOW DEVECE $ERIAL NO. <br />MODEL NO. <br />SERVICE ORDER NO. � APPLICATION NO. <br />.�.r.� � ,..,.,i <br />TSG �.rj �,,..5 �,, � <br />, • '4_ ,�d.v <br />i--i <br />_; �� <br />!.",5 _.{ !'i:l <br />l r" r'rl ' <br />_L= :r" _ <br />_r, f':� ' <br />i"':, : �:7 '. <br />� SEWER SERVICE <br />PERMITNO. SP'16902 PERMI'I'TYPE I Lln�,n. �`:i <br />REPAIR <br />' zl <br />RF,YIARKS: Please Note: 'I'he City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0$.�6p <br />:.-a.�. Q .t t't <br />l, �..I <br />__ -_ <br />i t�� � <br />�"a y�1 � '_i <br />�':> <br />INSPECTED BY: � ���.y ) <br />�+' — p ,!' I DATE: C �. .� 'G./� f � <br />t.� � <br />SEWER UTILITY FEE <br />T07'AL F[;ES <br />$30.00 <br />$30.00 <br />FEES <br />PERMIT NUMBER U1609-062 <br />ADDRESSCOPY <br />