|
•
<br /> • ILITIES II ,
<br /> , ,
<br /> --- 1 dIPTY OF EVERETT
<br /> L.— - - - -
<br /> ,
<br /> E VE RE T T PERMIT SERVICES .-
<br /> WASHli%le' --'°1‘1 pERNiirr' - - :, -f-,,,- :-.--- ..;
<br />, - - - - -- 320o CEDAR STREET
<br /> EVERETF WA 98201
<br /> ' -- - ' -- •- : , - ' - '' -- ,(42552-,:61--8810
<br /> 'PEIZMIT&ITIVilitit U1910-074- ' ' DAM
<br /> JOB ADDRESS '
<br /> 219 OKLAHOMA AVE LEGAL DESCRIPTIGN-
<br /> DESCRIPTION I\TENITWATER-'SERVICE LINE AND SIDE SEWER REPAIR , APN '-' '00593200001300
<br /> OWNER ' GALLAHER'GERALD H II. ' TENANT , '' , - • ' ..
<br />,„ , 132'04, P 'IAZIER PI,NW . .• , ' '
<br /> WA 98177 c°1\TTRAcT°R LIMITLESS PLI,IMBING&SEWER
<br /> P0 BOX 15
<br /> SNOHOMISH WA 98291
<br /> PHONE
<br /> 4258702946 _ ._ _ .
<br />,, I'_ ' __ _ _ _ -_ , _ _ - • .
<br /> WATER SERVICE
<br /> SERVICE SIZE' SERVICE TYPE FRONTAGE No.OF UNITS SERVICE ORDER Na APPLICATION NQ
<br /> ' • -
<br /> ' ' <
<br />' - - 0 0 0 SETFER INSTALLATION DATE BY
<br /> .-- '
<br /> METER Na - , _ SIZE #1 BACKFLOW DEVICE-SERIAL NO.
<br />- , R.F.No. - #2 BACKFLOW DEVICE SERIAL NOMETER ISTALLATION DATE EY
<br /> ,
<br /> BRAND MODEL NO
<br /> WATER ON • OFF LOCKED OUT-. BY TSG
<br /> h
<br /> SEWER SERVICESP-18218 PERMIT ThPE ALTERATION LID NO
<br /> REMARKS• . Please Note The City is‘responsible for structural defects in the side sevrer`on the City ROW side per EIBIC14.08.260-
<br /> , , , _.,
<br /> . ,
<br />.--'
<br /> SIDE SEWER Rgl'AIR
<br />--- ' l'''-',.'-'-'.''----7-:.,-;-'','-::-.::::--::-.:::f 7-',-,,,f-:`--I, r---`' `'"' ", ' ''-' -' '--, • ---,-:::
<br /> FEES
<br /> ' '- . '' --,--'---'
<br /> PLLJNIRII\IG,FEES $35.00 - •••*- ',, ' i'!„. -
<br /> SEWER UTILITY FEE $30.00 i
<br />' - OCI 3
<br /> _ . ot, Ev ERE-TT
<br /> ciipvermit_services_
<br /> - ,
<br /> TOTAL FEES $65.00
<br /> - . . _. _., _. e ::-— _• . .... ...
<br /> - -
<br /> PERMIT NUMBER - U1910..074 I
<br /> I
<br /> • _ - ,
<br /> ADDRESS COPY
<br /> - ,
<br />
|