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�LITIES <br />PERMIT <br />PERMIT NUMBER U1611-016 <br />JoaA��aEss � �23 RUCKER AVE <br />�Escx�PrioN SIDE SEWER REPAIR <br />o`�'NFR MALO TODD R& LELAND MEAGHAN L <br />1 123 RUCKER AVE <br />EVERETT WA 98201-1516 <br />C�Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREE'I <br />L;VERETT. W"A 98201 <br />(425) 257-8810 <br />� DATE: ( ( I � � I � � �% <br />1.Ecn� �FscRiPTioN HEI HTS ADD TO EVERETT BLK <br />APN: 00468622200500 <br />r�NnNr <br />coN��Rnc�roK MR ROOTER <br />2000 S 1 16TH ST <br />SEATTLE WA 98168 <br />PHONE <br />PxoN�` 2066512917 <br />WATER SERVICE <br />SERVICtSIC�: I SERVI('ETYP[ I FRON'I'AGt I NO,OF O.00 I StRVICEORUERNO. I APPLICA'f10�N0. <br />SETTEA LNSTALLATIOM1 UATG <br />�1ETEA �O. <br />R F. NO. <br />METER ISTALLATION DATE <br />W.4TER0� U�F LOCKF.DOUT <br />REMARKS <br />PERMI'I' NO- <br />REMARKS: <br />BY'. <br />BY' <br />BY <br />�Y <br />#1 BACKFLOW DEVICE SERIAL VO. <br />N2 BACKFLOW DEVICE SERIAL NO. <br />;v10DEL NO. <br />SEWER SERVICE <br />TSG <br />SP-16975 �ER""T'�''` ALTERATION I `'1DNO <br />Please \ote: The City is responsible for structural defects in the side sewer on the City ROW side per F;VIC 14.08.260 <br />SEWER U11L1'I'Y FEE <br />1'07�.4L FEES <br />$30.00 <br />$30.00 <br />FEES <br />DATE: <br />!'�" � �`n4 E: r.l� i:.i ( I n <br />4 � . <br />a..., ,_; <br />�' 1� :; � ;� �r� � - , ,� , . <br />PERMIT NUMBER U1611-016 <br />ADDRESS COPY <br />