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PERMIT NUMBER U1612-014 <br />JOH n��R� ss 10510 ] OTH DR SE <br />�FscxinT�oN SIDE SEWER REPAIR <br />owNLa DAVIS NEAL & LINDA <br />10510 l OTH DR SE <br />UTILITIES CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 �ED� S,.�ET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: � % �� � <br />LEGAL DESCRIP'I'ION <br />TENANT <br />CONTRACTOR pRICOR TECHNOLOGIES LLC <br />EVERETT WA <br />2825 S 154TH ST <br />SEATTLE WA 98188 <br />PHONG 42SS�ZOSg% <br />r�HONE 2062420633 <br />WATER SERVICE <br />SERVICE SIZE I SERVICE TYPE FRONTAGE NO. OF UNITS SERVICE OROGR v0. APPLICATIOh NO. <br />I <br />I Q.�Q I I <br />APN: 00697000003100 <br />SE7TERINS'I'ALLATION DATE gy <br />METER NO. __ SIZE <br />R.F. NO. <br />BRAW _ <br />�fE7F.R ISTALLATIOti DATE gy <br />MATER O� __ OFF _ LOCKED OUT gy <br />REMARKS: <br />NI BACKFLOW DEVICE SERIAL NO- <br />N2 BACKFLOW DEVICE SERIAL NO. <br />MODEL YO. <br />SEWER SERVICE <br />TS�i � .., : <br />_ ���.A <br />__� �� <br />...._.� ........� �_�:l <br />��. � '- ;"r•i <br />PLRMIT NO. SP- I/ O4 / r�"��T �PE I LIU NO. <br />REPAIR <br />REMARKS: Please Note: The City is responsiblc for structural defects in the side sewer on the City ROW side per EMC 14.08.260 . <br />INSPECi"ED BY� <br />SE W ER UTILITY FEE <br />TOTAI. F'EES <br />$30.00 <br />$30.00 <br />UATE' <br />PERMIT NUMBER U1612-014 <br />ADDRESSCOPY <br />