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. � CITY OF EVERETT <br /> UTILITIE S <br /> PERMIT SERVICES <br /> �T PERMIT 320�CEDAR STREG►� <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1702-021 °ATE: 1 Z,�� <br /> JOBADDRESS 3(O( WETMOREAVE LEGALDESCRIPTION <br /> DEsca�PT�oN SIDE SEWER REPAIR APN 0045 1 40 1 002900 <br /> �wrrER SCHULZ JONATHAN& FERGUSON AMY TENANT <br /> 3606 WETMORE AVE CONTRACTOR AMERICAN SEPTIC& SIDE SWR LLC <br /> EVERETT WA 98201-4736 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> vi-ioNF <br /> t'�t�NL 4257897296 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGt NO.OF UNITS SERVICG ORDER h'O. I APPLICATION i�0. <br /> I <br /> �.0� I <br /> I <br /> I <br /> SETCERINSTALLATION DATE BY <br /> METERNO. SIZE #1 BACKFLOW DEVICE SERIAL VQ -- <br /> RF.NQ — I a2 BACKFLOW DEVICE SERIAL NO. - --�- <br /> BRAhD ___ MODEL NO. <br /> METER IS"I"ALLA7'ION DATE B�' <br /> WA7"ERO\ OFF LOCKEI)OIJT BY _ TSG _ _.. �r�� ,� ...,I <br /> ,.o .. <br /> � <br /> __ _ — <br /> i._.,. '°C`_ r� <br /> i.... � � <br /> REMARKS'. '—...a '-�:) ' " <br /> �,��.a�'' �_i..� <br /> �:r.,. a-_: --� <br /> i'�'� <br /> '.'�...� ,� <br /> . ... <br /> �......� ....,..� �..._..�. <br /> t <br /> SEWER SERVICE ' "�'�`' <br /> �', <br /> PLRMIT NO. PCRMIT TYPE REPAIR LID NO. `��'{ <br /> SP-]7104 <br /> RF.VIARKS: Please Note:"Che City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08,��0 ,y'�i <br /> ���" e+:� <br /> ;`� <br /> ��� - <br /> �,� - <br /> __ ',a..�:� _ - <br /> -� i=•�— <br /> I __�!�1 , <br /> DATE: �:._'1 <br /> INSPECTED BY�. <br /> FEES <br /> SEWER UTILITY Ff;r $30.00 <br /> 2 <br /> �� ���'"$���`�� [ ¢ � 1��'' <br /> , �, t ,_� � +�'�.— __..__...�...__� <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1702-021 <br /> ADDR6SSCOPY <br />