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�ILITIES <br />PERMIT <br />PERMIT NUMBER U1610-040 <br />JOB ADDRESS 2 j] j 2 j ST ST <br />DFsctti�>rioN SIDE SEWGR REPAIR <br />owNEK NGO HA THANH & DINH DUON <br />PO BOX 141 1 I <br />�TY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />LVERETT, WA 98201 <br />(425) 257-8810 <br />I DATE: <br />LEGAL DESCRIP'IION EV <br />APN: <br />rENnN�r <br />ETT bIV K PLAT OF BLK 415 <br />00437941901701 <br />�<�N i Knc�i oii pLUMB DOCTOR LLC <br />MILL CREEK WA 98082 <br />816 OLYMPIC BLVD <br />EVERETT WA 98203 <br />PI IONE <br />N� 1O"�' 4254461777 <br />WATER SERVICE <br />SF.RVIC[-SI7.E I Sf:RVIC[TYVl: FRONTAGE �O.OFL'NI'1'S SF.RVICEORDERI�O. APPLICATIO�NO- <br />I �.�Q <br />I I I <br />SETTERINSTALLATION DATE <br />METER NO. <br />R.F. NO. <br />:�fETER ISTALLATIOV DAiC �;y <br />WATEROti____ OI�F__ LOCKEDOI�f ._ y}� <br />RENARtiS' <br />itl BACKFLOW DEVICE SFRIAI., �O. <br />a2BACKFLOW UE:VICESERIAf.NO. <br />MODEL NO. <br />SEWER SERVICE <br />�_.:: , <br />TSG �;`; - - <br />_ .. _ .�. �t ��. 5 <br />-•� �.,,:.7 �' { f.'i:7 � �� <br />— r-ri <br />i��;a.�iT.o SP-16957 PEk�irTvar REPAIR I�.n��o <br />RE�IARKS: Pleasc \'ote: "I'he City is responsible for structural defects in thc side sewer on thc City RON' sidc per E�1C 1,4.Q8;2G(f' ,,:,, <br />insPecren av <br />SEWER UTIL17'Y FEG <br />107 AL FF.[�:S <br />$30.00 <br />$30.00 <br />DATE: <br />PERMIT NUMBER U1610-040 <br />ADDRESSCOPY <br />