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• �::� Y OF EVERETT
<br /> ILITIES, -
<br /> ` PERMI.T SERVICES:
<br /> # PERMIT
<br /> • 320Q CEDAR S I1tEET
<br /> '' EVE(425)21. WA 98201
<br /> (425)257"881;0
<br /> PERMIT 1�IUIVIBER U1808 027 . ' DATE � `
<br /> JOB ADDRESS 1020_N BROADWAY LEGAL DESCRIPTION
<br /> DESCRIPTION" v DEMO OF EXISTING STRUCTURE APN: 29051700203200
<br /> OWNER KOZ ON BROADWAY LLC TENANT VACANT LILLY'S GARDEN
<br /> 1830 BICKFO )AVE STE 201: "
<br /> SNOHOMISH WA � 98290, - co%rrlineTOR'°. WYSER CONSTRUCTION INC,;
<br /> 19015 109TH AVID SE ;
<br /> SNOHOMISH WA `98296,
<br /> SHONE 2067551290 ..
<br /> PUIorIE, 4257420898
<br />'...:'''',..':::'-'-'i';'.''..;',1-,iT,:';.-;'-- -..,,:,,,,.' " '''''',-.,:'''.'-:,"'-'-'.,1:,::‘.,'-,,', ' ,-.:.'.''. '''-., .',-. :''',-.-'' '. -- WATER SERVICE
<br /> +SERVICEESIZE SERYiCETYPE':, FRONTAGE `„ .--NO.OF UNITS SERVICE ORDERNOi ,`APPLICATION NO -
<br /> . 0.00 •
<br /> SEuEttINSTALLATION DATE BY. - - -`- - -`:
<br /> METERNO. - ,SIZE �dI.BACKFLOW DEVICE SERIAL NO._
<br /> R.F l O, #2BAGKFLOW DEVICE SERL LNO
<br /> BRAND MODEL NO.'
<br /> METER ISTALLATION DATE, BY
<br /> *ATEIt ON
<br /> REMARKS —-!
<br /> SEWERSERVICE, a 3 C�.km3
<br /> :..-9',.1.-..4.f..:.,-:'-'•
<br /> )•iiRb1LT NO,
<br /> SP 17807 PERMIT TYPE I LID NO. [tom} „I
<br /> ,� CAP OFF 17"
<br /> ,,,iL *... t „Please Note-The City responsible.'° structural defects in the'slde sewer on the City ROW side per.z✓-1 p 60.,-,,.,e-.,.-..-.',M,...,
<br /> INSPECTED BY:' -DATE ' .
<br /> FEES
<br /> SEWER UTILITY FEE $10.00
<br />:-..-'1'.:'''' -.'-';''''''''-''' .' . : ' ' ''' ' '';': '::;:-''''L '.''' .' ' ' ' ''' '' '''TO--POSTING:--:' .'-(; .-',-, •, :•.- - i:-;-.-; -,,•:-,, :: ; ; - • • ,_ i ..;---f...'.:. -,':-,'. " -,,..,
<br /> TOTAL +EES_° $10.00
<br /> PERMIT NUMBER 51808-027
<br /> ADDRESS COPY
<br />
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