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_ , �TY OF EVERETT <br /> � TILITIES <br /> PERMIT SERVICES <br /> E���' n' PERMIT <br /> 3200 CEDAR STREET <br /> GVERLI"C, W'A 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1609-043 DATF: q � �Q <br /> .io�n1���aF.ss 10709 9TH�,FsE ���, S�. LEG.a�.DEscRirr�oN gROADWAY FARMS NO 2 BLK OOi <br /> Ur-:scuiPi�ioN NEW CONNECTION FROM SEPTIC TO SEWER ^PN� 00397000003908 <br /> owNi.iz O'KINSELLA SHAUN M & ELEANOR TENAN'r <br /> 10709 9TH DR S E coNTxncTOR pRICE BUSTGRS PLUMB[NG <br /> EVERETT WA 98208 3212 NE 167TH ST <br /> LAKE FOREST PARI WA 98155 <br /> PI IONI� <br /> PH°NH 2O63341649 <br /> WATF,R SERVICE <br /> SEHVIc't:SILL. I SERVICE TYPE �RO,�'TA(iE NO.OF UNITS SI�:RVICE ORDER NO. APPLICAT[OV�'O. <br /> I Q.�O <br /> I <br /> I <br /> Sf�.11'!:H I\ST.\LLATIO.V DATE BY <br /> \fETER\O SIZE #1 BACKFL0�4'DEVICE$ERIAL TO. <br /> k.F.�'O. - - -_ I #2 BACKFLOW DEVICE SERIAL NO. .._ . <br /> t312AVp MODEL NO. <br /> M[�I'f�:R ISTALLA I10�DA"CC BY <br /> — -C7 `, <br /> ['�'? "`"I j'�'i <br /> WA'I'I�:ItO� ()Ff _ _ LOCKtDOUT BY TSG � ��� ��'� <br /> � =a:_ � <br /> r-i <br /> _...{ �. <br /> RI�:MARKti. '--'i��i:7 _ <br /> '^:Wy'_...._I"i'7 <br /> 1 <br /> i`p"4 -_ <br /> I <br /> �,���� '". - <br /> ���1.�. .�i';: <br /> SEWER SERVICE �� '� <br /> C... <br /> ri;is�rruo SP-16885 NrsamurrvNt: NEW CONNECTION L1D•o ���'` �-,-` <br /> ,:ti �, <br /> RE�1ARKS: Please\ote:The City is responsible for structural defects in the side sewer on the City ROW'side per[;MC 14;�1fi.�260�,,, _''. <br /> NEW CONNI:C110N �"�g"'; '-; <br /> � — <br /> -;;�7;_. __ `,- <br /> _ _ — 4�r-:� <br /> ItiSPI�:CTFD f3Y. I DATG: ,-` �'--� <br /> FEES <br /> SEWCiR U"I'IL17'Y FF,r $70.00 <br /> I'OTAL FE;ES $70.00 <br /> PERMIT NUMBER U1609-043 <br /> �� �������T?�r"�� ADDKL-:SSCOPY <br />