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�TTILITIES <br />PERMIT <br />PERMITNUMBER U1604-018 <br />.i°B A°DREss 238 HIGHLAND RD <br />ix�sca�pr�oN SIDE SEWER ALTERATION <br />c�wNr-:rz ��qWKEY JOSEPH & TANIS <br />238 HIGHLAND RD <br />EVERETT WA 98203-3127 <br />���iorvi�: <br />SLR\'ICI:SI/_I�: I SER�'I('ti}'PL <br />SLTTERIYSTALLATIOYI)A"fL __ By <br />\1GTFR \O. __ _ SIZE <br />R.I�. \'O.__— . _ <br />9RAND _._ . —_. - __ .—_—..__ .__. <br />:NI�:TER IS7'ALLATIOV I)A-I'f:_ _ f3Y <br />WA'ITN p\ _ OFf LOCIiED Ol; i Bl" <br />RL-�IARkS. <br />�ITY OF EVERETT <br />PERMIT SERVICES <br />3200 CL•;llAR STREET <br />EVER�'f "�, WA 98201 <br />(425) 257-8810 <br />UATE: � ` � I � � 6 <br />r <br />i.�:GA� D�;scxrnrioN RYAN'S ADDITION BLK 000 D-00 I <br />APN OO6%0900OOO.iOO <br />r�:h�A�rr <br />corv�rKnc��oiz ATWATF,R ONE INC <br />17006 22ND ST NE <br />SNOHOMISH WA 98290 <br />_ � �'11ONF 4253342197 <br />WATER SERVICE <br />FRO\"fA(;t \'O.OFI;VI'I'S I SER�'ICEORDtR\(J. I APPLICi\'fl0\'!�O <br />�.1/� <br />I �ll 13ACI:FLO1l' DE�ICE SERIAL VO_ <br />#2 RACKFLOW' DFVICG SERIAL NO. <br />MODI;L \'O. _.__. <br />SEWC' R SERV�CE <br />T S�i � � i �"� <br />_____ :a=i '. <br />_ _ _ __ .-' ` 3'i � <br />�.._{ . <br />L.."'� I.J.J <br />.J i-- r,-� - <br />- :L : i=i <br />'={�7 ��-:''I <br />J::� -_.. _ <br />I I'I:ItMI"f ^JU. �,':_l <br />SP-16631 "`R�''''"''" ALTERAT[ON � .� <br />uu no ,�h i:__. <br />,,i <br />RE 11ARKS: Please 1ote: The Cit� is responsible f'or structural defects in the side sewer on the City RON' side per E�1C 14.08.2� -" <br />{X�.t o +:G.4 ...: <br />i-.�J ( •J <br />.=.:) �p1� Y�:� <br />,� " <br />..=] � J .._) ."-j <br />f ) c') �G:• <br />_..:i .a�•, t.=. <br />INSPf�:C"I�I��:UBY: �''.-J .. <br />I DATE: � ` � �� <br />(�--..« � i—� f .1 <br />L <br />FEES <br />Sewer UCiliiy I�ec <br />10'I,4L Fl•;H:S <br />$30.00 <br />$30.00 <br />PERMIT NUMBER U1604-018 <br />n��i�tzi:ss co>>v <br />