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UTILITIES <br /> CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT: _ <br /> 3200 CEDAR STREET <br /> EVERETT WA„98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1905-034 _ DATE 2..8 MAY y01 <br /> 9 <br /> JOB ADDRESS 6504 OLYMPIC DR SE LEGAL DESCRIPTION <br /> DESCRIPTION SIDESEWER REPAIR APN: - 00392901100102 <br /> ° R WHITLOCK SPENCER J TENANT <br /> 6504 OLYMPIC DR CONTRACTOR LIMITLESS PLUMBING&SEWER <br /> EVERETT WA 98203 124 ALDER AVE UNIT A <br /> SNOHOMISH WA 98291 <br /> PHONE <br /> PHONE 4258702946 <br /> IWATER SERVICE I5 <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NQ- :APPLICATION NQ' <br /> SE.II ER INSTALLATION DATE BY _ <br /> METERNO. SIZE '.#1 BACKFLOW DEVICE:SERIAL$O; <br /> -R,F.NO - _#2 BACKFLOW bEVICE SERIAL IVO . <br /> BRAND MODEL NO." <br /> METERISTALLATIONDATE `BY - - - <br /> WATER ON OFF LOCKED OUT -BY <br /> TSG <br /> n <br /> . ri-, e <br /> r_T7 <br /> SEVER SERVICE <br /> r'a <br /> PERMITNo. SP-18046 PERMIT TYPE I !•-- <br /> REPAIR LIDV.h .........14...,No. <br /> REMARKS; Please Note:The City is responsible for structural defects in the side sewer on the City ROW side.per EMC 14.01‘36'; ., �`� <br /> . . <br /> SIDE SEWER REPAIR t ;OF <br /> �M.�z <br /> c, ,, "a u <br /> ,- INSPECTED BY• ` ,' .,-.` ' � � DATE• ;, r--� "I" <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER ! U1905-034 I <br /> ADDRESS COPY <br />