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�ILITIES <br />C�'Y OF EVERETT <br />PERMIT SERVICES <br />PERMIT 320� �EDAK ST��T <br />EVERETT, WA 98201 <br />, (425) 257-8810 <br />PERMIT NUMBER U1611-012 <br />.ioa,aDDRi.ss 2420 HILLSIDE LN <br />��S�RIP"ri�N SIDE SEWER REPAIR <br />��WN�=K NAJDEK MARDELL A <br />2420 HILLSIDE LN <br />EVERETT WA 98203 <br />� �A�� 11 I �� .�I �� <br />LEGAL DESCRIPTION 140FT TH W 66FT TH N45*00 OOW : <br />APN: 00567900300101 <br />TENAN7' <br />coNTRncTox AA PLUMBING LLC <br />861 1 VISTARAMA AVE <br />EVERETT WA 98208 <br />i�iioNL <br />PxoNL 4254850123 <br />WATER SERVICE <br />S[RVICESIZE I SrRVICETYPE I PRONTAGE I NO.OF��O.00 I SERVICEORDER�O. I APPLICAI'IONtiO. <br />SFTTERINSTALLATIO'�DA'1"E <br />METER NO. <br />[i.F ti0. <br />l3RAND <br />MP'I-ER ISTN.LAIIOti DATF. <br />WATL�:R ON _ OFF _ LOCKED OUT <br />RI:MARKS'. <br />BY <br />PY <br />BY <br />SIZE <br />HIBACKFLOW DEVICE SERIALNO. <br />k2 HACKFLOW DEVICE SF.AIAL TO. <br />MODEL NO. <br />SEWER SERVICE <br />TS�i �_-� ��� �: i �:::,'�::� <br />__ .:i'i ,. ......, <br />_I' • <br />....i .. .�� <br />' ' ' - ,I <br />i <br />--i � <br />�'-'-� :.:.-_: !::.:..': .....,._ <br />�� <br />1..,_� <br />PNRMI"fNO. C�'7Ln�7� PERMITTYPE REPAIR I LIDNO. �:t�b <br />J 1V7/ <br />REMARKS: Plcase Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.2�;0; <br />._ . ����ry7 ..... ' <br />1`�SPtCTED BY: I DATE'. ,::-:' <br />,. C7,� <br />FEES <br />SEW[:R UTILI"�Y FEL: <br />TOTA� r E�;s <br />$30.00 <br />$30.00 <br />PERMIT NUMBER U1611-012 <br />ADDR�;SS COPY <br />� <br />� <br />