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L i ILITIES C 'Y OF EVERETT <br /> PERMIT SERVICES <br /> � E�T PERMIT <br /> 3zoo cLU,au sTRrrT <br /> EVERE"I'T,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1801-005 �ATE: '� � I ' ':) ,' <br /> Jos n�uEz�ss 5616 BEVERLY LN �E�ai.[�rscKiNnoN <br /> nr-scair�rioN S1DE SEWER REPAIR A�'N 00471800000300 <br /> owNf-:K TROTT KATHY ri:NnrrT <br /> TROTT LIVING 7'RUST cc�Nrkncroii HOLMSTADS PLUMBING INC <br /> EVF.,RETT WA 98203 PO BOX 5635 <br /> EVERETT WA 98206 <br /> i�i�oN� <br /> N�1ONC 4252599 I 3 l <br /> WATER SERVICE <br /> titli\'ICFSIZE I S[RVICL.'ll'PE FRO�'iA(iF 10.OF1:\ITti SERVIC�ORDEK\O. :1PNLICATIO\'\O. <br /> I Q.�� <br /> I <br /> I <br /> I <br /> SETTER 11Sl�AI.LAT10^.DA'I�I: gy <br /> �/iETER\'O. SIZF, _ . lll BAC'IiFLO\4'DEVI('E SERIAL h'O. <br /> ... . _ . . I -_ _......_ _ _- <br /> R F'.�'O. H2 BACKFLOW DEVI('E SERIAL NO. <br /> 9RAVD -' __ '- �._ <br /> _-. '_ . __ MOIJL:L VO._. . __ _.__ _. <br /> yETER ISI-AI,I.ATIO\D.4TE yy <br /> WATF.N 01' OFF_ I.O('f:L:U OUT__ BY '_ -�SG .. <br /> REMARIiti�. �.....' .. <br /> ,.::.1:-�I i_�:i <br /> l. - <br /> ,_ <br /> SEWER SERVICE <br /> Pea�in�o r�.H�urnri. REPAIR �.i��vu <br /> REMARKS: Pleasc\btc:The City is responsible for structural dcfects in the side sewer on thc City ROW side per IsMC 14.08.260 <br /> INSPECTEDf3Y: I DAiI�:: � ��� � - <br /> FEES <br /> SCWER UTILITY I I:E $30.00 <br /> '1'O"I�AI,FF.I?S $30.00 <br /> PERMIT IYUMBER U1801-005 <br /> ADDKI SS COPY <br />