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UTILITIES <br />PERMIT <br />PERMI'I' NUMBER U1505-024 <br />�o� nll�iu:ss ?] �5 MCDOUGALL AVE <br />��t-5c'iiu>ri�N SIDE SEWER REPAIR <br />�WN�`�� MAIN ST MTG CO <br />CLARK JOYCE M 1 132784 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 C't?DAR S'IRFE"1' <br />1-:Vh:RI; f.l. WA 98201 <br />(425)2�7-8810 <br />u��rF 5!5201 > <br />I.F.GAL DESCRIP'IIUN <br />I IiNAN l <br />coN�nznc�ruiz KO'f0 ROO�I'1:R SI�:KVICt-:S CO <br />EVERGTT WA 98201-2422 <br />101 I I South �I��coma Wa Ste U-I <br />I'nCOMA WA 98499 <br />i>nc�Ni• <br />i'iic�Ni` 2532744751 <br />WATEN SERVICE <br />JI:ItVI('L SILE I SERVICE T}'pF I FItUNI'AGF. I NO. OF UO.'OO I SLR�'IC'C�: URUI�:It NU T APPLIC'A�I'ION NU <br />,��'� 00=�0 I>-1�4 I 0 I 300 <br />Stl7F:RINSTAL1.AllON UA'I'E <br />A7E I tt2 NO <br />R I NO <br />UIiANU <br />MC'I�tH IS'I�ALLA'fION UA'fl: <br />w�n.iaoN orr �octieuou'r <br />RIiMAI(Ititi' <br />Bti' <br />!3Y <br />B1' <br />SIZE <br />nl BACKFL011' DF\'IC[ S[KIAL NO <br />a_' L3ACF:FLO\V DE\'ICE SERIAL NO <br />MODEL NO <br />T5(; <br />� SI�;WER SGRVICE <br />�>��:���,����N� SP-16012 �,�-�����,��,����� RF:PAIR ���,��� <br />RLNIARKS: Please Note: 7�he City is responsible for sh�uctural defects in [he side sewer o�� the City R0�1' side per LIV1C 1d.08.2GQ <br />i <br />r Cf"� l! .. �� ' �� I UATE , � � ��rLC <br />INSPI:CTLU dY. <br />Sewer Utility }�ee <br />"I'O"I'AL FI:�S <br />$30.00 <br />�30.00 <br />FEES <br />PERMI'I' NUMBI�:K U1505-p2-1 <br />,1I)u�t�[ss (�O�'1' <br />