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PERMITNUMBER U1609-030 <br />�osA�»>kEss 1227 KOSSUTH AVE <br />�Fscrz�r�rloN SIDE SEWER REPAIR <br />°w?�r,R FUCHS VERA L <br />1227 KOSSl1TH AVE <br />UTILITIES CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CLDAR STREE"1' <br />EVERETT. WA 98201 <br />(425) 257-8810 <br />DATE: C� — � L� -- � �i) <br />�.ecnLD�scaiPTioN gEVERLY VIEWLANDS DIV 1 BLK <br />AI>N: 00394 1 00 1 0 1 1 03 <br />TENANI <br />coN�iznc�oR AA PLUMBING LLC <br />EVERGTT WA 98203-6641 <br />8611 VISTARAMA AVE <br />EVERETT WA 98208 <br />i��ioNE <br />�H°N�': 4254850123 <br />WATER SERVICE <br />ti[RVICE SIZF: I SER\'ICh: "fYPE FROtiTAGE \O. OF l;\'ITS SI�:HVICE ORDI:R \O. .4�PLICATIO\' \'O. <br />I �.�� I I <br />S[TTERINSTALLATION DATE <br />\7ETER VO. <br />2F.NO. <br />RRA\D <br />M[:TER ISTAI,LATION O�TE <br />\4'ATER O� OFI� LO('KFD Ol:'i <br />RFNARKS <br />reizH�T no. <br />Rl�:�fARKS: <br />IVSPECTEDIiY�. <br />BY <br />BY <br />BY <br />#I BACKFLOW DEVICF, SERIAL h0. <br />H2 BACKFLOW DEVICt SERIAL NO. <br />MODEL �O. <br />SEWER SERV[CE <br />–ri - <br />ri "'7 i�-�'; <br />TS �j^ <br />.. _ �.._. h--�I �a�v� �. <br />�y —.i v <br />�.dl�f i <br />_r.::, r- i-� <br />-<�-z - � — <br />SP- I 60 / 3 PERMITTYPE REPAIR I LID N(). ����F <br />I� r� <br />Please Vote: "1'hc City is responsible for structural defects in the side sewer on the City ROW side per F.!11C 14.Q&.�y� .,_,:, <br />- ' ..: I <br />–; f�,; r <br />– i. <br />_ �';;^� _ o <br />SEWCR U1'IL[TY Flil? <br />7'O'I'AL FGES <br />$30.00 <br />$30.00 <br />DATE <br />� <br />PERMIT NUMBER U1609-030 <br />ADDRIiSS COPY <br />