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UTILITIES
<br /> CITY OF EVERETT
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<br /> PERMIT SERVICES
<br /> PERMIT
<br /> x :M 3200 CEDAR STREET
<br /> EVERETT,,WA 98201
<br /> DEC:
<br /> PERMIT NUMBER ` U181 009 = - DAxl , Q , .E , 15.; .;
<br /> JOB:ADDRESS 18'22 BROAD WAY AVE LEGAL DESCRIPTION
<br /> DESCRIPTION `' SIDE SEWER REPAIR APN. 00437936402100;.
<br /> O R HONG NGUYEN HUYNH&PHAM HUONG T.] • TENANT ;,,
<br /> 1822 BROADWAY AVE = CONTRACTOR
<br /> EVERETT WA ,_ 98201' MR.
<br /> R ROOTER,
<br /> S 1.16TH ST
<br /> SEATTLE WA 98168
<br /> PHONE. -.; .
<br /> PHONE 2066512917'
<br /> WALTER�SERVICE
<br /> SERVICE SIZE SERVICETYPE , FRONTAGE Na OF UNITS SERVICE ORDERNO. APPLICATION NO
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<br /> r •.SETTER,INSTALLATION DATE Pt
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<br /> `METER NO SIZE #I BACKFLOW DEVICE SERIALNO
<br /> #2 BACKFLOW DEVICE SERIAL NO
<br /> BRAND MODEL'NO.
<br /> METER ISTALLA'I�ON DATE.' = gy -
<br /> WATER ON_. OFF LOCKED'OUT BY - S -
<br /> " TSG ,�:.
<br /> REMARKS:. --- - - .2
<br /> SEWER SERVICE
<br /> PERMITNO. tSP-17894 PERMITTYPE -LIDNO, ...
<br /> REPAIR ..
<br /> REMARKS; Please Note The City is responsible for structural defects,,• the;side sewer on the City ROW side per EVIC 14:08.260,
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<br /> < SIDE'SEWER REPAIR
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<br /> II3SPECTED$Y � DATE ��
<br /> FEES DC Q c01
<br /> SEWER UTILITY FSE .' $30.00 CIT
<br /> Y of Ev_
<br /> Perrn/t Set1r Ces
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<br /> TOTAL'FEES: $30.00.
<br /> I.
<br /> PERMIT NUMBER U1812'-009
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<br /> ADDRESS COPY
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