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UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 32�� �EDAR s, K��T <br />GVERETT. WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1605-017 <br />�oB AD°«� ss 3621 LOMBARD AVE B <br />�EscRu>�n��N SIDE SEWER REPAIR <br />owNHri GRANSTROM DANIEL W <br />14l l 128TH S'T SW <br />EVERETT WA 98204-5552 <br />nATE 5., � 3 _ � � <br />LL<,n� �escainrioN EVERETT DIV E PLAT OF BLK 880 <br />nr�N 0043738800II00 <br />T�Nn"r PACHECO RAUL <br />coNr�zncroR SOUTH WEST PLUMBING <br />2401 SW ALASKA ST <br />SEATTLE WA 98106 <br />��fioNi: <br />�'11ON1' 2069321777 <br />WATER SERVICE <br />SI:ItVICI�: tiV.L�: I SERVICE'I'YI'I�: I I�RONTAGE I n'C1. O'' UO OO I SfRVI('t ORDER �O. I .4PPLIC'�'I'I()4 �O. <br />SFTTERIVSTAI.I.ATIUV DA'IE <br />ME7ER VO. <br />R.F. ti0. <br />BRAVD <br />METER ISTALLA'il()IvM1 DATE <br />WA7"ER OV UFI' _.'_" LOCKLD OU'I' <br />REM.4RKC <br />I3Y <br />nv <br />f3Y <br />it] BACKI�LOW' DEVICE SERIAL VO. <br />#2 BACI+FLOW' DEVICE SERIAL \'O. <br />MODF.L. VO. <br />SEWER SERVICE <br />TSG _ <br />�:, <br />i"':�; ,,,:�„ � F. `t <br />�. � <br />- _.__— �.._.� " <br />�.1,� � -- _�� - � „ <br />::::i.: �i=" ' <br />_ 1._: <br />?� <br />._..� . .. ... <br />NFkMn �° SP-16661 rr:a�irTVPE REPAIR I 11DNO ."''h <br />r� <br />RCVIARKS: Please Notc: "1'he City is responsible for structural defcets in the side sewer un the City ROW si�e per F;�iC 14.Q8.t2�6A' <br />a -��i <br />_ �� �-- <br />,� � '�} �_ � <br />INSPECTED BY: <br />Scwcr Utility Fee <br />1'O'I AL FF.4:S <br />$30.00 <br />$30.00 <br />FEES <br />onre <br />;.i <br />r..'-:> -' i-�� <br />---a .a:;' ._... <br />���, <br />� <br />,._..� :;_ <br />PERMIT NUMBER U1605-017 <br />n��izi�:ss coPv <br />