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�TILITIES <br />�ITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 �EDAR 5.,,�ET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1610-011 <br />�oafwDUEss 3613 WETMORG AVE <br />�EscRit�TioN SIDE SEWER REPAIR <br />owNeR SHEPARD GRETCI IEN W& ROBERT J <br />3613 WETMORE AVE <br />EVERETT WA 98201-4735 <br />PHONG <br />� �ATF �G�I�Ii�i <br />Lr.cn� uLscaiP�rioN FRI AYS 1 ST ADD TO EVERETT L- <br />ANN 00451400900600 <br />TENANT <br />coNrrzncTOK ROTO ROOTER SERVICES CO <br />101 1 1 South Tacoma Wa Ste D-1 <br />TACOMA WA 98499 <br />� � r�ii°NF: 2532744751 I <br />WATER SERVICE <br />SC�RVICESILI�: I tif�:RVI('E"1'YPG FRON7'AGE NO.OFUNITS SGRVICEORDFRNO. APPLICATION�O. <br />I Q. <br />I �� I I <br />SETTER INSTALLATION DA"fE �7y <br />METER NO. SILl� <br />R.F. n0. <br />HRAND <br />VtETER ISTALI.ATION DATE �y <br />WATEA O\' _ OFF LO('KED OUT ___ yy _ <br />REMARKS: <br />NIBACKFLOW DEVICE SERIALNO. <br />N2 6ACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />�..� <br />TS�J I-r:� �.� .:� <br />- . =j <br />_ . _-�--` ::3:: <br />r_ . <br />j;'�1 :-="-T.:) - „ <br />: r i <br />'-'� <br />�Ea�tin.° SP-16931 v``a�" �YPE ALTERATION I�.ii>vo ;,� <br />�,w <br />REMARK.S: Plcase \'ote: "I�he City is responsible for structural defects in the side sewcr on the City ROW side per GMC 14.08.26� <br />" `�:i <br />...... ��^u� ...... <br />fA'SPECTED BY: <br />SEWER UTILITY �E�; <br />$30.00 <br />7'O'1'Al, I�F:ES $30.00 <br />DAT'L: <br />F�i <br />�' ; <br />�..._.. <br />f..; "l <br />' � �_.. <br />.::.::� • -'+7 I'+,; � <br />C:[:7 <br />�� <br />E...._ p.. _� <br />PERMIT NUMBER U1610-011 <br />ADDRESSCOPY <br />