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PERMIT NUMBER U1611-010 <br />�os aD�rzFss 1925 HOWARD AVE ", <br />��e:scxii��riorr SIDE SEWER REPAIR <br />�W�R AMUNSIS RHODA J <br />1925 HOWARD <br />U�LITIE S <br />PERMIT <br />CIrY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET' <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />I nnTE: <br />LEGAL DESCRIPTION <br />I'ENANT <br />PI'NEHURST BLK 003 D-00 - LOTS : <br />^PN: 00544700302400 <br />coNrxnc�roR ROTO ROOTER SERVICES CO <br />EVERETT WA 98203 10655 INTERNATIONAL BLVD <br />TUKW[LA WA 98168 <br />PI IONE <br />�'"�N� 4257732257 <br />WATER SERVICE <br />S�.RVICE S1Zt I SERVICE TYPE I PRONTAGE I NO� �F O OO I SL:RVICE ORDER �10. I APPf,ICATION M1O. <br />SHTCER MSTAI,LATION DATE BY <br />�1F.TER NO. SIZE <br />2.F. NO. <br />BRA'VD <br />�1F,TER ISTAI,I.A7'ION UATE IlY <br />W AT[R O\ OFF LOCKED OU'1' BY' <br />RF.MARKS: <br />ql BACKFLOW �EVICE SHRIALNO. <br />N2 9ACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />SEWER SERVICE <br />_ �. i <br />T$�i �..;_.' , '._.. <br />�...._. __.._ �,,::�: <br />- _.. ' i��- ��A,u <br />y .._.� =.I:J ' �� <br />���u.,l �:"_� �. �..� ' <br />�_� �'" <br />re:k:�irno SP-169%2 aeaMrrrvaF REPA[R I u�no t <br />„�i <br />REMARKS: 1'lease Notr. 'Che City is responsible for structural defects in the side sewer on the City ROW side per CMC 14.Q&2�6� ,:,;u <br />,'.,, a <br />_. �'�,°5 �.. <br />1\SPF.CTEDBY�. . / ' .,"` I DATE'. �� `�.� t� <br />�/lJ .z �l <br />SEWER UTILI"i'Y FEE <br />TO'1'AL FEES <br />$30.00 <br />$30.00 <br />FEES <br />PERMIT NUMBER U1611-010 <br />ADDRESSCOPY <br />