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�, k ; '- ,...,-;,........k...17. EVERETT
<br /> :� ILITIES.
<br /> PERMIT SERVICES
<br /> ���� PERMIT �
<br /> 3200 CEDAR STREET
<br /> '-_:.,-;:-. '-'----:,,:;:-..-.--,.--:-.._._--:. -,_..„-.-.--.'E-
<br /> - EYERETT WA 98201 .
<br /> (� rtr(42t5�)257 881;0
<br /> PERMIT NUMBER y Vl'7_l l 023. DATE 0 9 I V O Y _' 201
<br /> aos ADDRESS 2931 BROADWAY I LEGAL DESCRJP'HON
<br /> DES•CRY Jj SIDE SEWER CAP OFF
<br /> I ArN: Q0439068800500
<br /> OWNER JONES NICHOLAS•B - •TENA
<br /> :12918:__-4,-----I MI . TEO SPEEDWAY STE:C2
<br /> IIYNNWOOD eorrrxACTox 9 85TH T HANDY WORK LLC
<br /> WA ,98087 :-= '
<br /> 1.12P-N'85TH ST
<br /> Pxorrl • :SEATTLE - : •=__ WA 98103
<br /> PxO� -2062714565 _
<br /> W- -'E Eli- C-E
<br /> SERVICE SIZE: SERVICE TYPE FRONTAGE - -
<br /> - NO OF UNITS - SERVICE ORDER NO: APPLICA`I;TON130
<br /> t
<br /> U00
<br /> $LTTERYNSTALLA'fOND'ATE BY
<br /> 3 .MRTERNO - -• '- ' �
<br /> SIZE.: k1B"ACKFLOW DEVICE$BRL L NO?'-
<br /> v.
<br /> ,B ,<, :; i{2BACKPLOWDEVICE:SERIAL,.NO.:r
<br /> METER ISTALLATION DATE - -
<br /> WATER ON__OFF_ LOCKED O_UT '.BY - -
<br /> REMARKS, ' -.
<br /> SWER.SER�IG c•a , x— I
<br />:.:'-.4‘.-.•PERMIT NO.- - '-
<br /> .. PERMIT TYPE
<br /> CAP OFF Lro No I'
<br /> REMARKS, Please Note The City is responsible for structural defects in the side sewer on the City RO_W side per EMC 14 08 2
<br /> .- -:-''. : ._ -"--,68licq,:....--17..1, .....
<br /> INSPECTED BY. � _
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<br /> . . ., ......,. , ,
<br /> I - FES
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<br /> SEWER UTILITY FEE
<br /> . , . _. - _. . . . ., _.. __ :
<br /> .... ., .. .. ....... . _....
<br /> TOTAL FEES' $10 00
<br /> PERMIT NUMBER U1711:023 .
<br /> ADDRESSCOPY
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<br />
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