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PERMIT NUMBER U1611-066 <br />JOB ADDRESS j OZ4 GRAND AVE <br />�LscrziPrloN SIDE SEWER REPAIR <br />°WNL� HATHAWAY JEFFRF,Y <br />1024 GRAND AVE <br />�ILITIES <br />PERMIT <br />(�TY OF EVERETT <br />PERMIT SERV�CES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />I DA�� Il <br />I.EGAL DESCRIPTION <br />TENANT <br />^�'N 00468621300400 <br />coN�aa,cToa AA PLUMBING LLC <br />EVERETT WA 98201 <br />861 1 VISTARAMA AVE <br />i>i ioNr-. <br />EVERETT WA 98208 <br />i>iloNr- 4254850123 <br />WATER SERVICE <br />SERVICE $Il.I: I S[;RVI('E TYPF FRONTAGE NO.OF UNIT$ SERVICE ORDER NO. AYPLICATION NO. <br />I �.Q� <br />I I I <br />SLTTERINSTALLATION D.ATt3 <br />�7F.TER \'O. <br />R 1+. �O. <br />6RAND <br />Mf��fERISTALLATiON DAT[: <br />W'ATER ON _ OFF __ LOCKLD OUT <br />REMARKS' <br />6Y <br />BY <br />#1 BACKFLOW DEVICE SERIAL \O. <br />N2 �ACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG r`' ' <br />.__ _ ;r' � . , <br />.: �.::; ....._: i:�.,r'i <br />�,. ,I .....: �..�.i ...:�::'. <br />I'I:It��tl"I'\'O SP-I /OZZ Pt:Ri�11TTYPE LID�O. <br />REPAIR <br />�i ,I <br />RCMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14 08 3�jp <br />INSPECTED HY': � I <br />DATE: � <br />j� r Z��-� <br />SEWER UTILI'TY F�E <br />I'OTAL FEES <br />$30.00 <br />$30.00 <br />FEES <br />PERMIT NUMBER U1611-066 <br />nDllRGSS COPY <br />