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840 N BROADWAY A 2020-05-04
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840 N BROADWAY A 2020-05-04
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Last modified
5/4/2020 2:42:02 PM
Creation date
5/4/2020 2:41:59 PM
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Address Document
Street Name
N BROADWAY
Street Number
840
Unit
A
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■ TI CITY OF EVERETT <br /> U LITIES <br /> E V E R E T T PERMIT SERVICES <br /> wf►sH�ru�roN. PERMIT3200 CEDAR;STREET <br /> EVERETT,VSA 98201 <br /> (425)2,57-8810 <br /> PERMIT NUMBER U1910-028 DATE' 0 C 1 L 019 <br /> JOB ADDRESS 840 N BROADWAY BLDG A LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN. 00551300001900 <br /> OWNER .GPT PROPERTIES TRUST TENANT DSHS <br /> TWO NEWTON PL CONTRACTOR ROTO ROOTER SERVICES CO <br /> NEWTON MA 02458-1634 10655 INTERNATIONAL BLVD <br /> TUKWILA WA 98168 <br /> PHONE <br /> PHONE 4257732257 <br /> WATER SERVICE I <br /> SERVICE SIZE- SERVICE TYPE APPLICATION NO FRONTAGE NO,OF UNITS SERVICE ORDER NQ - <br /> 0.o0 1 <br /> SETCER INSTALLATION DATE BY - <br /> METER NO. SIZE '#1 BACKFLOW DEVICE SERIALNO.' <br /> RF.NO. ,#2 BACKFLOW DEVICE SERIAL NO." <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY. 17 <br /> WATER ON_ OFF LOCKED OUT BY - TSG "G3 <br /> r--- I" <br /> REMARKS: <br /> ---4 <br /> I' SEWER SERVICE T <br /> ra <br /> PERMIT NO - SP-18176 PERMiTTYPE REPAIR I LID NO. ' ]"'y I <br /> CTI m <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0846' , <br /> SIDE SEWER REPAIR o 0 c? <br /> ra r,. c) <br /> INSPECTED BY: I DATE I-^^ <br /> FEES_" <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $3,0.00 r <br /> LPERMIT NUMBER U1910-028 <br /> ADDRESS COPY <br />
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