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CITY 0E-,-...E: VERETT , <br /> E5w I�TIL TIE . <br /> 4 • PERMIT SERVICES <br /> PERMIT; <br /> 3200"CEDAR STREET• <br /> . WA <br /> 1tUERETT 9820,1 <br /> (41-54'71.7.7.,..8: 11-3;8 , <br /> p <br /> PERNIITNUM$ER ' • ;_U1810=005" y DONE 3 ' �`T 20 0 ' <br /> JOB ADDRESS '722 LAUREL DR LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN 005619009001"00 <br /> OWER.- • HOUTS.RICIL.ARD. • TENANT <br /> 722 722LAUREL DR✓: <br /> LAUREL <br /> T WA 98201 CONTR SCTOR _ HQLMSTADS PLUMBING I;,:,,c.` <br /> RO BOX 5635 <br /> EVERE'Z'T. WA 98206 <br /> PHONE <br /> PHONE 425259:9131 <br /> WATER SERVICE:, <br /> SERVICE SIZE SERVICE TYPE - FRONTAGE NO OP UNITS r 'SERVICEiORDERNO. _ 'APPLICATION NO ` <br /> . 0 00 <br /> SEITERINSTALLATION DATE- ,--,. BY - - - <br /> METER NO. SIZE -, �NIBACKFLOW:13-CE SERIALNO. - <br /> R.E,iNO, - 'i I2 BACKFLOWDEVICE"SERIAL NO, <br /> ",BRAND .,MODEL NO.,f <br /> METER ISTALGATION DATE'- BY - <br /> WATER Ox_ow_ LocxED our Er " TSG -.,-- - •._ <br /> '--+ <br /> :--4 <br /> REMARKS: <br /> CLT7 <br /> SEVER SERVICE <br /> �s I <br /> PERMfl-..N--0.•, •-"S' P-11.7.84 2 _ PERMITTYPE REPAIR-, .., <br /> Irl_ C. <br /> REMARKS: Please Note The.City is responsible for structur"al defects►n the side.sewer On the City ROW sideper EMC 14 0..1C-i , <br /> SIDE SEWER REPAIR !._ , <br /> 1 <br /> IN$1?RCTED EY. DATE <br /> I. <br /> FEES <br /> SEWER UTILITY PEE $30.00" pp <br /> ' ppSTtNG <br /> TOTA�LFE $30.00' <br /> PERMIT NUMBER` U181.0-005 <br /> ADDRESS COPY <br />