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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> F' � � PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMITNUMBER U1710-001 �AT� �� U� � �� I� <br /> JOQ ADDf2ESS �(7�2 MAPLE ST LGGAL DESCRIPT[ON <br /> �xscRiPTioN SIDE SEWER REPAIR ^�'N 00605400200700 <br /> owNr-:rt KARMELICH KAREN A r�'N^N� <br /> 1612 MAPLE ST coN�rancToa AA PLUMBING LLC <br /> EVERETT WA 98201-2128 g61 1 VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PI IONL <br /> �'����N� 4254890123 <br /> WATER SERVICE <br /> SFR\'10E SIZE SERI'ICE TY'PE 1-R0\TAGE �O.OF l;\ITS I SERVICE ORDER\O I AYPLIC.ATIO�'VO. <br /> I <br /> I <br /> I �.�� <br /> SETTER INSTALLATIOV DATE ,. 8Y _._. _ <br /> �18TERN0. SIZE _ HI BACKFLOW DEVICE SERIAL,VO. . _ .._ <br /> ��;`� I N2 RACKFLOW'DEVICE SERIAL�O._. <br /> HItA\'D _ MODEL ti0. __. ._ _ ... - <br /> \1[TtR ISTALL.4TI0\DATE BY ____ __ <br /> W'ATGRO\ OI�P LOCI�I�:UOU� BY T$(i `��.:� .�. <br /> � <br /> .. . _ _ .__- ::.:) .. : . <br /> �. .� ..._.- :. <br /> 1..-.i <br /> Ii1�:MARKS'. ......� .. <br /> .-�:�.. ....;,..,.,. <br /> i.,.j ��:� �,�:.:� _..,. <br /> 1::�. <br /> !.;.��..i , <br /> SEWER SERVICE <br /> Pk:R�11T\'O. PL:R,ViITTYPE REPAIR I.II)VO <br /> I...': <br /> REMARKS: Please Vote:The City is responsible for structurai defects in the side sewer on the City ROW side per EMC 14.OS.ZbO <br /> ,� <br /> � <br /> ,..: <br /> I�SPECTEDBy_ I DA'Iti'. . __ ..... . <br /> FEES <br /> SEWER UTILI'I Y�LL $30.00 <br /> I O I'nL FEES $30.00 <br /> PERMIT NUMBER U1710-001 <br /> nu��izi:ss coi�v <br />