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UTILITIE S <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PE1u•�1 1 3200 CGDAR STREET <br />EVERE'I'T, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1611-007 <br />�o� aix�Kh:ss 5308 S 3RD AVE UNIT B <br />�EscR�PT�oN S1DE SEWER REPAIR <br />owNi:a FIRIS GEORGE <br />5308 S 3RD AVE <br />EVERETT WA 98203 <br />I DA'I'E: <br />LEGnL �EscRiPTioN Section OS Township 28 Ran�e OS O <br />APN: O1093200000200 <br />TENAN'r TAMARA VANDENBERG <br />coNT�AcroR METROPOLITAN SEWER SERVICE <br />17903 176TH AVE N <br />WOODWVILLE WA 98072 <br />PHONE <br />'>E{oN� 2065425466 <br />WATER SERVICE <br />Sh:RVICE SIZE I SLiItVICI:TYPE I FRONTAGE I NO.OF UO?OO I SERVICI:ORnI',R NO. I APPLICATION NO. <br />SE'ITN.RIVS'I'ALLATION DA7"E BY <br />�AETER \'O SIZE <br />R h'. NO. <br />13RAND <br />METER ISTALLATION DATE BY <br />W A'I'I:12 ()N UFF LOCKED OU'I' I3Y <br />RtMAIZKS <br />PL�.RMI'I' N(). <br />RI:MARKS: <br />1\SPECTEDBY: <br />NIBACKFLOW DEVICE SERIAL NO. <br />#2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />TSCi <br />SEWER SERVICE <br />SP-lfi9f9 r��:amirrvre �pAIR I LIDNO. <br />Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br />SLW�R UTILITY FEE <br />T07'AL I�EN;S <br />DATE: <br />FEES <br />t <br />$30.00 �� 3 ,., , ..: � " ` w <br />d�; v ati �`� ��7 �, iS d.3 Rp d / <br />.. I.._� ,j, <br />w� <br />� ,._` `' �F �v'E�';'_, <br />,�ii 'i,,. ,-,.. <br />$30.00 <br />PERMIT NUMBER U1611-007 <br />ADllRESS COPY <br />