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<br /> PERMIT
<br /> - 3200 CEDAR STREET
<br /> EVERETT; WA 98201
<br /> -'::.,:-:4.-:A..,S:-,:":.,
<br /> (425)257 8810
<br /> PERMIT NUMBER IT-1-804 )45 3 0 R 18
<br /> DATE
<br /> JOB ADDR2003 ADAMSAVE . LEGAL DESCRIPTION
<br /> ESS
<br /> DESCRIPTION 3/4":NEW CONNECTION_AND SEWER!- ,1- x MN;
<br /> 00545002002600
<br /> OWNER GREENDANA J), TENANT
<br /> 2011 ADAMS AVE CONTRACTOR
<br /> EVERETT WA 98203
<br /> OWNER
<br /> PHONE _ _
<br /> PHONE
<br /> 'Y WATER SERVICE
<br /> - SERVICE-SIZE- SERVICE TYPE FRONTAGE = NO OF UNITS SERVICE DRDERNQ APPL[CATIONQ ,
<br /> 3!4" SFR I
<br /> u I Q 00
<br /> SETTER INSTALLATION DATE_ :i BY:- ' _ -
<br /> METER NO - SIZE: RI BACKFLOW DEVICE SERIALNO`.
<br /> :.' - SSBACKFLOWDEVICE SERIALNO.=�-
<br /> BRAND - _ MODEL:NO,..
<br /> METERSSTALLATIONDATE -:BY - - - - - --
<br /> \VATERON_ OFF +_- LOCKED OUT BY - - TSG _ _ _
<br />;:g,:--':,-- ,--;-!:',-.: :
<br /> 314'NE1V CONNBCTIOI
<br /> .= SEVER SERVICE _. J
<br /> ,PERMIT NO . � _
<br /> SP 17672 .,:::,-..:,,,;:: ::::::::-L;.:-,' '`
<br /> PERMIT TYPE NEW CONNECTION
<br /> REMARKS Please.Note TheCity is responsible for structural defects in the side sewer on the:City ROW side•per EMC14 08260'
<br /> NEW CONNECTION
<br /> E -
<br /> IREti -NSPECTD BY -
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<br /> :;, .-. FEE.$
<br /> SI;WERTJTIITYFEE
<br /> WATER UTILITY FEE $ 016;00
<br /> APR �:U 2Q�
<br /> CITY
<br /> TO POSTING fi�� � P�tov�
<br /> TOTAL FEES. $3,086:00 r S rVICeS TT
<br /> ' I
<br /> PERMIT NUMBER% U1804 045
<br /> 1 ADDRESS COPY
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