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PERMIT NUMBER U1609-025 <br />JOB ADDRESS 2$ ] S� HTH ST <br />�FscxiPrioN SIDE SGWER REPAIR <br />°wNLR FONG JOHN C <br />2815 18TH ST <br />EVERETT <br />UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 �ED� STR��.I. <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />Da rr: _ � ._ <br />LEGni.�escxiP�norr VICTORY ADD TO EVERETT BLK <br />^�'" 00605400601600 <br />WA 98241-2144 <br />TENAN"C <br />coNTrtncroa ROTO ROOTER SERVICES CO <br />101 1 1 South Tacoma Wa Ste D-1 <br />TACOMA WA 98499 <br />i>i ioN� � <br />PHONL 2532744751 <br />WATER SERVICE <br />SERVICESIZE I SL:RVICF:TYPE I FRONTAGt I NO.OFUNITS I SERVICEORDER�10. I APPI.ICA'IIUV�O. <br />0.�� <br />SETI'ER I\ST�ll,LATIO� DATE BY <br />VIETER \O. S7ZE <br />R.F. ti0. <br />6RAVD <br />METF.R ISTALLA'I'ION nATF 6Y <br />WATF.R ON OPI� lqCKl!I) OU"� ,_ BY <br />R[;MARKS'. <br />PtRY11l' \O. <br />REMARKS: <br />14SPEC7ED BY: <br />#1 BACKFLOW DEVICE SERIAL h'O. <br />N2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />_1.�..i ., ..._ <br />' _� ,.m�.�I 1'"�.'1 <br />TS�J --) n I:::��. <br />~ ~�� w�.w <br />F'--a <br />-._{ �� <br />"i lt::l <br />6�,� r�-- r'�-i <br />�'• :r"- i:7 <br />-r7 i—ri <br />SEWER SERVICE <br />SP-168fig Pek.tirrrvre REPAIR � �iono <br />Picasc '�'ote: Thc City is responsible for structural defects in the side sewer on the City ROW sidc per E�IC 1 <br />SEWER UTILITY FEE <br />"1'O'I'AI, PEES <br />$30.00 <br />$30.00 <br />FEES <br />UAl'1:'. <br />�q � t+<t _. <br />c.� <br />� � i�y � _� <br />�+ �--- <br />1 i"�, `.�5 ..F:.� <br />�.`a "md _..� ^�� <br />I_ ; � f':.7 <br />.-_.:j �.`j -.,:7 <br />C_ A <br />, _.!�1 <br />PERMIT NUMBER U1609-025 <br />ADDRLSSCOPY <br />