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' � <br />UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1612-017 <br />�os All�x�ss 1101 GRAND AVE <br />�Fscaii�noN SIDE SEWER REPAIR <br />owNeR BAKER GARY W <br />I 101 GRAND AVE <br />EVERETT WA 98201 <br />I DATE: <br />LEGAL DESCRIPTION <br />�N 00468622301500 <br />TENANT <br />CON'CRACTOR AA PLUMBING LLC <br />861 1 VISTARAMA AVE <br />EVERETT WA 98208 <br />I PIIONE I I <br />Pi�°Nr 4254850123 <br />WATER SERVICE <br />SF.RVICESIZt � SERVICE TYPE � FRONTAGE <br />SETTFRINSTALLATION DATE <br />N�TEH NO. <br />R.F. NO. <br />9RAM1D <br />M[TF.R ISTALLATIO'� DATE �y <br />NO. OF UNITS <br />�.�� <br />ItI BACKFLOW DEVICE SF,RIAL NO. <br />q2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />SERViCF ORDER �O. I APPLICATIOV h0. <br />WATER ON OFF _ LOCKED OU7' BY TSG � ' ' <br />- i: <br />NP.MARKS'. � ' �� <br />::: �i i [: I'l ' ' <br />� i...�.� <br />t-l.:= <br />SEWER SERVICE ' <br />; ::: � I <br />PERMITNO. SP-1 /O49 PfRMITTYPE REPA[R I LIDNO. ������� <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08�2G0` . <br />/ / _ <br />INSPECTEDBY. <br />SEWF.R UTILITY FEE <br />COTAL FEES <br />$30.00 <br />$30.00 <br />FEES <br />DATE: /� r � I � <br />� <br />, ;::, <br />PERMIT NUMBER U1612-017 <br />ADDRESSCOPY <br />