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�" CITE O..„.. TT
<br /> UTILITI
<br /> E V E R E T T PERMIT SERVICES
<br /> VHAS-H7"NGTO.IV � .; � �
<br /> PERMIT' 3200 CE AR ST
<br /> p REET
<br /> );VERE T WA 98201
<br /> .
<br /> _ (425)257 8810
<br /> PERMIT NUMBER 111904 045 . DATE 4/26/2019 =
<br /> JOB ADDRESS,. 7510 17TH=AVE SW LE&AL DES,CRIPT1ON
<br /> DESC>'z cION;. SIDE SEWER REPAIR - '- APN 0043:,2500.001500
<br /> OWNER PHELPS&. ENIMORE TENANT
<br /> NORTH AMMERICAN`MRTG'CO CON'rxACTOR W
<br /> ALBION NI'. TER'SEI�VZ,3k CO
<br /> _:.
<br /> 1:4411 ROTO RQO _
<br /> . _ 1:0.655 INTERNATI�O�TAT.,BLVD -
<br /> xoNE •• TUKWILA WA 98I68
<br /> PHONE 4257732257
<br /> I W TER SERVICE - s i
<br /> SERVICE SIZE .:. :,SERVICE TYPE: ..FRONTAGE ISO OP UNLTS S`ERWCH'ORI ER NO:' APPLICATIONNO
<br /> 0 00 I
<br /> SETTER INSTALLATION DATE By
<br /> METER Of::-.-'1.---.---- SIZE Ri BACKFLOW DEVICE SERIALNO -
<br /> 112 BACKFLOW DEVICE SERIALNQ
<br /> - - - - _ _
<br /> MODEL`NO y- - - -
<br /> METERISTALLATIONI) �BY -
<br /> WATER ON -.': "SOCKED'OUT BY TSG - `
<br /> .REMARKS' - - - -
<br /> S �'VER SERVTC`E
<br /> PERMIT NO SP-18014 - PERMIT TYPE LID NO $
<br /> RE_
<br /> PAIR � I
<br /> REMARKS Please Note TheC:ty is"responsible for structural def'e'cts in-the side sewer on the'City ROW side per EMC 14 08 260 `
<br /> INSPECTED BY
<br /> = y- I DATE I
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<br /> F1ES
<br /> SEWER UTILITX FEE $30 00 d A,..,i-.,--,..-...,,...t..,-:-:,-.:--.-5,a•..-;:-,7,7;-..'.:,--2.1
<br /> ;,.;.-:-.-4-s,7:-;,,-;.-i-;,''-.,-,•.:.4---,:.-f.,.:..,-•:,-,',-).-,7i;.,].,,.;.-„:-..A.'.'.--.:-'-::.-N-:.„0--1.i,,.,ir,..3.;----,-lc,".Q.,.i:,,,--,-f,,,1--,--...:;•f,.:,,i-,,i-'--.,,.4_.'-•-,.:-....,..-...-.i,--„--•:..-.-:':.-..":--.....-...,.•-;1,-''-,'...:,1--.,:...-:..:.•::-,.,."-,..i..::,:'•:,'.,-,.,--.,.--.--!:k.-.--",.-,-..-,,-lr•:---":'m7i,-„;.::,.::-Xt:.,-,,.--.-,,.-;-•---.---..".-.-,---..-„---';,.:'9-:.--CyF„..:,,.-„-..,-..;...-:-.:i---.;-....-.;...::,i.',',-_.:"-.'4,.:;.-,.
<br /> •
<br /> —
<br /> A26 tats
<br /> Jw � kp
<br /> TOTAL FEES'. =
<br /> CIT 'OF EVERETT
<br /> $30,00
<br /> ` Permrt Ser4vrces
<br /> PERMIT NUMBER U1904-045
<br /> I 1 I
<br /> EIDDRESS DOPY
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