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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 2�� '�-�810 <br /> PERMIT NUMBER U1710-023 pATE: <br /> JOB ADDRESS 7$26 CASIN� R� LEGAL DESCRIPTION <br /> ��EscR�Pno� SIDE SEWER REPAIR ^PN 00393600301200 <br /> owNra BUCK A JAY rcNnNr <br /> 7826 E CASINO RD <br /> EVERETT coN�rRac�roa RESCUE ROOTER <br /> WA 98203 <br /> 175-A ROY RD SW#101 <br /> PHONIi <br /> PACIFIC WA 98047 <br /> i'F{°NE 4253351427 <br /> WATER SERVICE <br /> SF,RVICt SIZE I SERVICE TYPG FROhTAGE \'O.OF W]TS <br /> I SF.RVICE ORDER NO. ppp���q���p�,��p <br /> I �.�0 <br /> I <br /> I <br /> SF.TTEN INSTALLATION DATE BY <br /> METER NO. _StZH_ #1 BqCKFLOW DEVICE SERIAL NO. <br /> R.F.N0-- -_ -- - I q2�ACKFLOW DEV[CE SERIAL VO. <br /> BRAND �10D[L iVO. <br /> �1ETER ISTALLAT101 UATE gy <br /> W'ATER OM1_ _ OPF _ LOCKED OL7 Ay <br /> — TSG <br /> krM.4aKs <br /> SEWER SERVICE <br /> rraMrr vo. SP-17508 <br /> PERMITTYPE REPAIR LIDNO. <br /> RGMARKS: Please 1ote:The City is responsible for structural defects in the side sewer on the City ROW side per F.�1C 14.08.260 <br /> ivsrecren av I <br /> DATF: <br /> FEES r-:�. <br /> SEWRR UI7LI'�Y FEE $30.00 cI � �0�� �`I/ <br /> p���F ev�RET�`.. <br /> � <br /> rv���s <br /> 'ro�rn[,F�F.�;s $30.00 <br /> PERMIT NUMBER U1710-023 <br /> ADDRESSCOYY <br />