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<br /> UTILITIES ' ,,; CITY OF EVERETT „
<br /> -:,---,;.':-',,,:',,,,,,,,-'::,
<br /> PERMIT SERVICES -
<br /> -' �, E1 MIT
<br /> art • 3200 CEDAR STREET
<br /> 'j EVER]t •TT•TWA-98201
<br /> ;(425)25 7 8810
<br /> PERMITNUMBER 1J1901019`: DA'I'S: .
<br /> 7OB ADDRESS 2212 1ZUCKER,AVE LEGAL DESCRIPTION.. :�' , A 1
<br /> .DESCRIPTION Repair to a 4"•'side sewex near side;of building "APIC : 00439k148202500
<br /> owNRR TJBRNE INVESTMENTS LLC- "
<br /> TENANT s.
<br /> 1820 32ND'ST CONTRACTOR
<br /> EVERETT WA 9"8201 Fischer Plumbing:
<br /> 6608 220th ST.SW.
<br /> Mountlake• Terrace WA 98043
<br /> PHONE
<br /> ri1oNE 20.67$34129
<br /> I WATER SERVItCE
<br /> i
<br /> SERVICE TYPE FRONTAGE ..NO OFUNITS SERVICE-ORDE1INO ':APPLICATION NQ
<br /> 0.00
<br /> SETTFRINSTALLA'L'ION DATE' _ BY - - = -
<br /> METER-NO' - SIZE -
<br /> ' #I B�CKL+LOW DEVICE SERIALNO _
<br /> -RE.NO r'' '#2 BACKFLOWDEVICE SERIAL NO
<br /> BRAND _ MODEL NO: ""
<br /> METERISTALLATION DATE: By _
<br /> WATER.ON_OFF_ �.00KED OUT BY ' TSG
<br /> ,REMARKS:.
<br /> ISEER SERVICE ._.•-_..,'--_:''..'..-,.,-'-„;.....-..:...--,=.•,...-.=-_-,.=.,'.-,.-.„,:',_-r,_..-,-.,:'-•-,,..•:-..•,.-.••'••„-_-....-,,-..:-,-5---:,T_--..-.:--'-;:-_-''-••„--&•--.•',5_'„.•••----m-i.,c•-::•.:,:•k-,,',„-,,.--:'.,•'.,'.-.'.,(--.1•...1,--7,,.,=•,- '
<br /> PERMITNO. SP 17924. PERMITTYPE > SIDE SEWERREPAI7
<br /> REMARKSt Please Note The G►tyas responsible'for sfructur ,defects in thes►de sewer on;t,”e City ROW side per'-E IJ,k
<br /> °1:5 2019
<br /> SIDE SEWER'REPAIR
<br /> 'ITy ,
<br /> 11
<br /> errn11 EtRTT
<br /> INSPECTEDBY' _ DATE !ViOes
<br /> I a.
<br />�” � _ ',-,'1'::::::-:::,_:.:,-,',.7..-- ' FEES _
<br /> SEWERUTILIIYFEE' $30.Q0
<br /> 44iy 1 5 2 B
<br /> TO � TI �? c
<br /> D19
<br /> • . ,
<br /> Z l� ' jP�pFEVE
<br />''' ' '' '' '' - - -. .' - -' ' - . . . ' - -- - - . .. -TOTAL FEES $30.00-
<br /> PERMIT NULMIBER 01901-019
<br /> '' ' ' .. - ',.. '' '
<br /> ADDRESS:COPY"'
<br /> ONLIN ::'
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