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<br /> ;� k PERlYI�T' - _
<br /> ��'� �� �`� � 3200 CFsDAR STR�ET ._
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<br /> �_ EVER�"LT,,�VA 98�0� '�� , .
<br /> _ � _ _ E(4�2�257 88"10,: -
<br /> - PERMIT NUMBER U18Q3 007 ; DA`rE � �� ��� >" _���;
<br /> JOB nvDziEss � 517 ALVE.R�0�7 BI,VD. < ��nr,D�sc�rrorr'
<br /> bEscx�orr SYDE;SEWE�REPAIR � �� � 004968]3004600:
<br /> owiv�R . CHURCH IN EVERET'T ��' �
<br /> � - ` RON BURGNER ' � :
<br /> 517 AL�7ERSON%BLVp corrrRacTox gEACON:PLUMBiNG _; �
<br /> � EVERETT WA - -
<br /> 8G 11 S 192ND ST
<br /> :pFTOI�7E = � . '.' .
<br /> KENT 'WA.� : 98031 -
<br /> -P�o� 4252771;879
<br /> — _ � �VATER:SERVICE;
<br /> $ERVICESIZE -� SERViCETYPE:' ERONTAGE ���NO.OFUNiTS � SERQICE�ORbERNO..: �" : APPLICATIONNO:". �_
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<br /> �TERI�O � � SIZE .-.#IBACKFI]OW DEViCE'SERIAL;NO�.:_ _
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<br /> BRANU'� � � . - -
<br /> - �-MODEL NO.- �
<br /> METER IS1'AL[:A110N DATE- .`:HY � - ' . -
<br /> WATERON_ OFF_.:,LOCKEpOUf BY - `PSG - - -
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<br /> '�REMARKS; -
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<br /> _ -SER'�R.SERVIGE, ,
<br /> PERT9T NO. . . . .. �
<br /> . PERivIIT TYPE � �p�7P�TD �'-LID NO. � _
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<br /> � IiEMARKS';. Please 1Vote:The Citty is responsible for structural defects in fhe'Sid�sewer on-tlre CiLyRO�sade perEl�IC.14 08:260_`
<br />; . INSPECTEDBI' � �DATE: �
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<br /> ': SEWE�Z UTILITY FEE $30.00 M�R U �-1��4� ;;
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<br /> � TOTAL FEES .. $30:00. _
<br /> PERMIT NUIVIBER �'U1803;007' '
<br /> AD,DRESS COPY
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