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`: UTILITIES CITY OFVERETT , <br /> E VE R E T T PERMIT SERVICES 3 , <br /> WASH 1 N c3 T.o N PERMIT 3200 CEDAR.STREET . <br /> EVBkE I WA 98201 <br /> (425)257 8810 <br /> PERMITNUMBER. . U1905-001 bAT ' 5/172019 <br /> JOB ADDRESS 3409'FEDERAL AVE LEGAL DESCRIPTION <br />` DESCRIPTION SIDE:SEWER REPAIR APN: <br /> 004375$2800400' <br /> OWNER HART THOMAS C • TENANT <br /> 11245 PALATINE AVE N CONTRACTOR OWER <br /> SEATTLE WA 98133 <br /> PHONE 2069408940 <br /> PHONE <br /> I ' WATER SERVICE; <br /> ~. <br /> SERVICESIZE SERVICE TYPE- FRONTAGE • -:NO.OF UNITS SERVICE ORDERNQ ' `APPLICATION NO. <br /> I <br /> SETTER INSTALLATION DATE BY <br /> T. <br /> `' METER NO: SIZE':: - � �#I BACKFLOW DEVICES SERIALNO. - <br /> �R;F NO - , #2 BACKFLOWIEVICESERIAL NO. <br /> ..BRAND _ MODEL NO. <br /> --METERISTALLATION DATE BY - <br /> WATER ON .. OFF_ LOCKED OUT BY TSG - C„'}CI <br /> W r .. <br /> L, <br /> I _ SEWER SERVICE <br /> r IL, I <br /> PERMIT NO. , PERMITTYPE - - I -LID NO, _ - f✓-• L,_. <br /> SP-18017 REPAIR ti ----. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.O $ . , <br /> INSPECTED BX, " .DATE - <br /> FEES I <br /> SEWER UTILITY FEE. $30.00.. <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER. U1905 001 <br /> ADDRESS COPY <br />