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UTILITIES <br />PERMIT <br />PERMIT NUMBER [J1611-073 <br />�oE3 nuDaFss 4202 TERRACE DR <br />nE:scRi�lioN SIDE SEWER ALTERATION <br />owNER JACOBS RICHARD D& WADDOUPS PATRIC: <br />4202 TERRACE DR <br />EVERETT WA 98203-2206 <br />i>i iow: 360675310 l <br />CITY OF EVE�ZETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERE7"I', WA 98201 <br />(425) 257-8810 <br />DATE: ��`� <br />LEGAL DESCRIPTION <br />'�''N 00497501300103 <br />'f ENANT <br />coNrRncTOR AMERICAN SEPTIC & SIDE SWR LLC <br />2606 LARLIN DR <br />EVERETT WA 98203 <br />� � PtiorrE 4257897296 <br />WATER SERVICE <br />StRVICF SIZL I SERVICE TYPE FHONTAGE NO.OF U1YITS SERVICI�:ORDEIi NO. APPLICATION VO. <br />I I �.�0 I I <br />SET'I�ERI\S'IALLATIO� DATE gy <br />�tE:TER \'O. SIZE <br />R.P. ti0. <br />�2ANU_. _ _. <br />�1ETI:R ISTALLA"f10�' DATC- gy <br />WATEIlON OFF __ LOCKEDOUT gy_ <br />REMARKS: <br />PF.RMI7' Np. <br />KF.,YIARKS: <br />I\SPEC'I'f.� BY: <br />NI BACKFLOW DEVICE SERIAL NO. <br />N2 BACKFLOW DEV[CE SERIAL YO. <br />MODEL NO. <br />SEWER SERV[CE <br />.. ....d �... <br />rsG .� ; ":`'' <br />_—" ._ <br />.. - - �, <br />l. .,� i"{ � �..1 _...., ,. <br />�� <br />•�r•.:+� <br />SP— 1/OZ / PERMITTYPh: ALTEIVITION I LID VO. ^'�� - <br />�.�, <br />4,y y <br />Pleasc 1'ote: "I'he City is responsible for structural defects in the side sewer on the City ROW side per E�iC 14.08.�6b <br />' _. <br />,: �:_; <br />.- � I DATE'. O� r ]% �.....,. ..�.::... <br />�� � 22-� �:: <br />SEWCR UTll,l'fY FEE <br />TOTALPFES <br />$30.00 <br />$30.00 <br />FEES <br />PERMIT NUMBER U1611-073 � <br />ADDRI:SS COPY <br />