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<br /> UTILITIES . ... '.
<br /> PERMIT
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<br /> (425)25.7810
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<br /> DATE' . - .0 2:':Alit-_--:2t1_ 0,:_,._
<br /> JOB PERMIT ADDRESS, NUMBER- : :R,0 c.it,,4,—F'ELLER AVE
<br /> „, . . ,_,_s- __, -,,, .... ' , :,-,Ap, N'.. , 00'4'.9. SERVICES''50Oo5130,40,,,)
<br /> . '. •6309 , , ' ' '. ,-- -r .- ...• _ . - . • '..'. . -.- • - :”.
<br /> DESCRIPTION • .Side sewer repair139ken'piipe wiCh-C!Pg:g_.,- . .'
<br /> OWNER Christine Iverson : TENANT
<br /> : - . CONTRACTOR.-- - ' 6309 Rockefeller Ave
<br /> 6309 Rockefeller ..93
<br /> Ave
<br /> . , ..WA
<br /> Everett WA 98203 Everett982. :
<br /> PhONE 4253142242
<br /> PHONE - 4253.142242.
<br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO APFLICATIONNQ
<br /> .. • 0.O0 ,'- ' : ' .. -'-,
<br /> . .- •: ' ' .--' , ' --- '-' ' .%-
<br /> STER INSTALLATION DATE BY
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<br /> #1 BACKFLOW DEVICE SEIUALNO
<br /> RF NO .r.-.,:, " .,,-,.:--1,::.,;..'--i.''',:'• '::-':r:-: -'. •-#2 BACkPLTY:PVIFE SERIAL
<br /> NO
<br /> ERAND ..',: - .' 1 .••, . -, --1 -.:-.._.- ,,.., ..- ',-. - - .. ',• -' , -
<br /> MODEL/46 , : . -. -; ' ' . - ., ..1: ,r :- _•, ,- . . r :
<br /> METER ISTALLATION DATE BY
<br /> -'-• ' -' •,• . OFF -LOCKED OUT -BY TSG
<br /> ' - SEWER SERVIC- - -- "
<br /> P.Esimilw E --, SIDE SEWER REPA 11 - ,.', ,,..26d.
<br /> LIDNO
<br /> REMARKS Please Note The City is p NO. SP 17787. 6ie foriituct!wal defectsct•-n in the side sewer on the City ii0W side per EMC146ss:•
<br /> SIDE SEWER REPAIR
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<br /> FS
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<br /> rt I lees,
<br /> TOTAL FEES $3000
<br /> PERMIT NUMBER . , 807_033
<br /> ADDTRES COPY
<br /> 01/\11,...4,ike_:,,,
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