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� <br />� <br />� <br />L [LITIE S <br />PERMIT <br />PERMIT NUMBGR U1503-062 <br />�os nnDR�ss � g22 ('HESTNUT ST <br />DGSCR[PTION SEWER CAP OFF FOR DEMO OF SFR <br />OWNER HAACK BROTHERS INC <br />3922 87TH AVE NE <br />MARYSVILLE WA 98270 <br />C�Y OF EVERETT <br />PERMIT SERVICES <br />3200 CCDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />o����� � -- � Z-G5 <br />LGGAL DESCRIPTION <br />ANN: 00563235602500 <br />TCNANT <br />coN riznc�roR HAACK BROS CONST INC <br />3922 87TH AVE NE <br />MARYSVILLE WA 98270 <br />PHONE <br />i>HON� 4253977360 <br />WATER SERVICE <br />SERVICG51"!e tiLRVICG'f7'VL FRONTAGL' NO.OFUNIT5 I SeRVICGOKULRNO- I APPLICATIONNO. <br />I I I 1.00 <br />SETTER INSTALLA'I'ION UAl'E <br />BY <br />ME'I"ER NO. SIZE <br />R.F NO <br />BRAND <br />MH"f8R ISTALLA'f10N UA'I'H BY <br />wrcrea or+. _ _ or•r . _ �ocKc� ou'r ___ _ ur . ____ . _ <br />RGMARKS. <br />#16ACKFLOW DEVICE SERIAL NO. <br />H2 BACKFLO\V DEVICE SEAIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG ?'i ��� �� r_, i <br />,� � ....., <br />�..._. ,. _ , <br />� , _ � r;,f:: <br />� :,::, —..,.� � .r: � �-�� � <br />: 7_�': C.f::i ....,' <br />4� :�' �..._.. �-.i..� �.._.� :c.._ <br />:I'':: �.'::i t--:! t::'J <br />f"�'1 i � :� <br />...._ ::T;l v I...,. <br />N�sian�rrNo rrannnrvec CAPOPF I LIDNO i��l <br />',r,I, <br />,��.� <br />RGNIARKS: Plcase Note: "1'he City is responsible for structural defects in the side sewcr on the City ROW side per EN,� 14.(�$,.260 <br />tt�� ,� •r:r,; cn <br />,. <br />,:, :: <br />,-,-�. i....... ,:.-::, _:�F F �:.:,.., <br />..i :.. , :��„ : , ,_: _ <br />�, �: I u i....t <br />ri ,����,i ; �_- _ r._� <br />/A .._.. „�o ..-.; r��... -�- �--' , i`i C.,=' <br />�� :. !:_ <br />f .....� :..... ; .�; <br />� �` I DATE: ,�y �f � 1G r,.i:::: <br />INSVECfED BY- � �-'� `--` <br />/ C ' a_- � � <br />Sewer Utility Pee <br />TOTAL FEI:S <br />$ t 0.00 <br />$10.00 <br />FEES <br />� � / � j2 ��/ ` PERMIT NUMBER U1503-062 <br />�� ��� N ��J� � - (v <br />ADDRESS COPY <br />