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UTILITIES <br />PERMIT <br />PERMIT NUMBER U1607-010 <br />Jos AD�R�ss 3723 HOYT AVE <br />�FscR��TroN SIDE SEWER REPAIR <br />owNFR HOUSAND JAYME L& MERWOOD JANE <br />3723 HOYT AVE <br />EVERGTT WA 98201-4914 <br />PHONF: <br />SERVI('FiSU,F � SERVICE"fYP� <br />SE11"ERINSTALI,ATiON DATE _ gy <br />N�TER NO. _ SIZE <br />RF. YO. <br />BRAND _' _' . - <br />'�tETER ISTALLATION DATF gy <br />WATER ON OFI� LOCKED OL'I' __ 9Y _ _ <br />RE�IARKS <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STR�;ET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: � ._-� „, / � <br />_ l <br />�.H;cn� n�scxipTloN RT 33-) BEG 330FT S OF SW COR B <br />^�'" 29053000400700 <br />"I'C-NAN7' <br />CONTRAC'1'OR <br />I PHON}: <br />WATER SERVICE <br />I�NON'fAGP. I NO.OI� UNITS <br />�.�� <br />AA PLUMBING LLC <br />8611 VISTARAMA AVE <br />EVERETT WA 98208 <br />4254850123 <br />I aIBACKFLO\4 DEVICE SERIALNO. <br />N2 HACKFLOW DEVICL SERIAL �O. <br />MODEL NO. <br />sEwFu sEav►cE <br />SLRVICEORDERNO. I APPLICA"fIONh'O. <br />_i__ <br />�rsc ; _,1 !: ; � <br />,_-. <br />, � <br />..._.� .._., <br />_ . . -.. "''a " ' <br />..{ -._. " � „ <br />�t:KM�T r,o SP- l 6733 �`KM�, TVN�; REPAIR I��� �o �° <br />,VIARKS: Please'�ote: The City is responsible for structural defects in the side sewer on the City ROW side per E.'V}�",}'4.08.�40 ,,,,,. <br />__. i: <br />' �'. r . _.. <br />INSPECTED BY; <br />DATE: <br />l Z�-2�--/� <br />FEES <br />SEWFR UTILITY FEE <br />$30.00 <br />"I'OTAL FEI;s $30.00 <br />PERMIT NUMBER U1607-010 <br />ADDRF.SS COPY <br />