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�� UTILITIES
<br /> CITY OF EVERETT
<br /> PERMIT SERVICES
<br /> gp rER t:,J`
<br /> y�,,� 3200 CEDAR STREET
<br /> EVERETT,C��19'8201 '"
<br /> 425)22,57'-8810:
<br /> PERIVIYT NUMBER U3806 036 DATE
<br /> JQB ADDRESS 5725-COLBYAVE LEGAL DESCRIPTION
<br /> DESCROrION SIDE SEWER ALTERATION •�'N 00495800300300_
<br /> OWNER: WASHINGTON:ALPHONSO C&AMEER TENANT
<br /> 5725 COLBYAVE ' ' CONTRACTOR
<br /> EVERETT • WA 98203 OWN
<br /> ER'
<br /> PJIONE 2069990640 -i.'
<br /> PHONE
<br /> WATER SERVICE
<br /> -SERVICE SIZE. • SERVICE TYPE1--i----:-..--.: „:.:,`_!--:'.---.1-„,.-'5,1,'.'-::
<br /> TAGE - NO.OF UNITS SERVICE ORDER
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<br /> 1
<br /> 0.;00 I
<br /> 5
<br /> 'SEI IER INSTALLA`A10N D
<br /> ATE BY
<br /> �' IETER.IO
<br /> SIZE - #I$ACKFIgW DEVICEjSERIALNO
<br /> ? s
<br /> .:, - BACKFI,OWDEVICE SERIAI,NO
<br /> BRAND; _ MODEL'NO. -
<br /> MEIERISTALLATIONDATE BY --
<br /> .WATER ON_OFF_ LOCKED OUT .BY _ 4T1 -
<br /> TSG ._
<br /> L.I�cr' . o
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<br /> _. SEWER SERVICE ; A '"?
<br /> rERMITNo.. -,SP-11756 ; PERINITTYPE LID No_ ,"
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<br /> . can
<br /> ALTERATION
<br /> REMARKS Please Note The City is responsible for structural defects in the side sewer on the City ROW side per'EMC 14 0
<br /> Lai ,'•+:et
<br /> SIDE SEWER ALTERATION;` ,��- , +--
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<br /> INSPECTED BY _
<br /> t..
<br />.33--1f4411;',:;71Vil,:i'.-.1!:4I-i-';?:,;':,..!:::::'...--?1;:.;.ig45--.:1•,:a'1';:f.i1;.:::::::':;:;-,,,:;,,, ,-1.;„; '47,7,-,.:-f-::-,-,_:.:::1;=...:;-,E.---.::',',....-.....„-,)i,.,,,,,-. ..,- g";.---,•-,,..1.,::, :..,_,..._:-..,:......,.... • , , , , :. . .: ,,,, .
<br /> ` s
<br /> SEWER UTILITY FEE $30:00'
<br /> TO POSTIN:-",0-'17.•-••7--",-;„.":.;-1:11-::-._':-,7'=••,•-•--. :
<br /> �y
<br /> TOTAL FEES
<br /> $30 00
<br /> IPERMIT 1�TUMBER U1806 036
<br /> ADDRESS COPY
<br />
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