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UTILITIES <br />CITY OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR STREE'1' <br />C;VERETT, WA 98201 <br />.(425) 257-8810 <br />PERMIT NUMBER U1612-032 <br />�oB.a��Rrss g08 IOSTH PL SE <br />��scRu�rioN SIDE SEWER REPAIR <br />°wN�:R SCHL[CKER KEVIN W <br />UNKNOWN <br />UNKNOWN WA <br />I DATE: `�I ' l-E/ I! ( �-, <br />tiCJ <br />LFUAL DESCRIPTION <br />APN: 00542500000500 <br />II:NAN"I' <br />coNrRACTOK pRICOR TECHNOLOGIES LLC <br />2825 S 154TH ST <br />SEATTLE WA 98188 <br />I PHONG I I <br />�'� 1ON1'- 2062420633 <br />WATER SERVICE <br />SI�:IiVICt SILt SERVICE -1'1'PL: I FRO\TAGE I \U. Uf �O OO I Sf:K\'ICI; OR�ER \O. I APPLICA'I-10\ \O <br />SETTERI�SI'ALLATION DA7'L. <br />METER NO. <br />R.�. NO. <br />BRA�'D <br />METER IS'�ALLAI'I(>\' De\'I'1: <br />lV.4TER0\ __ OI�i� LOCY:I�DO�T <br />RE�IARAS <br />BY <br />BY <br />BY <br />SIZE <br />NII3ACKI�LOW DEVICE SERiALNO. <br />H2 6ACKFLOW UEVICE SERIAL VO. <br />MODF.L NO. <br />SEWER SCRVICE <br />TSG -- — – ; ,. - <br />' ---�9 i". ::f ::':::C :=l:i � . <br />_,:,a <br />_..... <br />�.. , i""" 1'r'I 1"�7 ..'._ <br />._...... .�.... ....__ ...... <br />....I.. ...... . i_..._ '..... � <br />'�''""",�'° SP-17062 PERMITTYP[ REPAIR I "°�O <br />RE�IARKS: Please \ote: The City is responsible for structural defects in the side sewer on the City ROV1' side per I�:�7C' i'�:0l3.2C(l; ,. <br />i.: <br />II�SPECTED 13V�. I DATN.: .._ ,.... . <br />FEES <br />s�wE.R u ri�.rrv rLL <br />I'OTAL I�E[;S <br />$30.00 <br />$30.00 <br />PERMIT IVUMBER U1612-032 <br />AUURESS COPY <br />