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<br /> CITY OF EV''''
<br /> ET '?-
<br />'- UTILITIES '' PERMIT SERVICES
<br /> ,:4-;,:-..4;---,,--,--,-,,,, ... . ,3200 CEDAR STREET
<br /> - '' '''''.1 '-',. .ag'''',,S,?..":*7-':,'s - • ' r IT - , - - vERETT
<br /> WA 98201,
<br /> PERM E '
<br /> j425)q-57 8810
<br /> ' <,,..;•°:°'or*,:".:,,,,.--"`--3*-.7 -,.,f '-,, -„, ' : , ,..,, ,.' ' . ,, • ' `• , -
<br /> ' 1j 1 APR .1*,
<br /> , _ DATE 20
<br /> UI 804-015
<br /> PERMIT INIJAIRE12
<br /> LEGAL DESCRIPTION
<br /> 2—ILA AQt ' , : '
<br /> ADDRESS 566 -21.:61arrEg. !- '
<br /> ION SIDE SEWER REPAIR ARN00578403500100 TENANT,
<br />'- OWNER REN KYLE '• 5602 S 2ND AVE EVERETT WA 98203 10coNTRAcToR R(1,..,6T505 R INO_O_TER SERV.ICwEA168S COC°9
<br /> •
<br /> TP1R-1•1 ATI'ONAI,BLVD
<br /> ,
<br /> TUKWILA —
<br /> PRONE
<br /> PHONE 4257732257
<br /> WATER SERVICE NNQ
<br /> AppucATIO
<br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO
<br /> SETTER INSTALLATION DATE BY , El BACKFLOW DEVICE iERL,bisTo • , ..: ,
<br /> METER NO SIZE
<br /> RF NO
<br /> W DEVICE SERIAI..NO
<br /> BNANO
<br /> DEL NO
<br /> ' .,
<br /> WATER ON_ OFF LOCKED OUT BY TSG „_,
<br /> REMARKSCir
<br /> •
<br /> , ,' ilT,...--,1. ' •':'K3.
<br /> Ell SERVICE, ' - • i.L2.,. 1
<br /> LID NO xi
<br /> PERMIT NO ' PERMIT
<br /> TYPE REPAIR. ` . Y ei ,
<br /> . ' Please Note
<br /> The City is responsible for structural defects in the side
<br /> sewer on the City ROW side 046
<br /> e per EMC 14 :: 8'at': .79..----.%r--)h.:. .
<br /> INSPECTEDEY
<br /> DALE
<br /> . ,
<br />,,.
<br /> . - FEES
<br /> . ., ,
<br /> 1 .
<br /> EE 83000
<br />- - SEWER UTILITY F
<br /> _ ..
<br /> TOTAL FEES
<br /> - I PERMIT
<br /> NUMBER
<br /> iji804-015
<br /> ADDRESS COPY
<br /> - ,
<br /> • - ,
<br /> , ,
<br />
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