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ITY OF EVERETT <br /> " Tin TILITIE S <br /> PERMIT SERVICES <br /> ,. 1 - PERMIT <br /> 3200 CEpAR STREET <br /> EVERETT,SVA 98201. <br /> PERMIT NUMBER U1904-012 'DATE. t <br /> (425)257-8810 " <br /> JOB ADDRESS 0 SPR- 2019 <br /> 936"W MUIKILTEO BLVD LEGAL DESCRIPTION <br /> DESCRIPTION NEW:SIDE SEWER INSTALLATION': aPN. 005058.0000,1400, <br /> OWNER POPESCU GHEORGHE&NICOLAE ROXANN TENANT <br /> 936 W MUKILTEO BLVD COIJTRACTOR <br /> EVERETT WA 98203-1725 SEWER DETECTIVES <br /> 215 15TH ST <br /> PHONE <br /> SNOHOMISH WA 98290 <br /> PHONE . <br /> 42592349.5.8 � �. <br /> ' - _WATER SERVICE ) . <br /> SERVICE SIZE SERVICE TYPE `FRONTAGE NO OF UNITS SERVICE ORDER-NO. APPLICATION NQ <br /> SB t I ER.INSTALLATION DATE, ",BY - - - <br /> METER NO_. SIZE #1 BACKFLOW DE CE,SERIALNO. <br /> BRAND - <br /> #2 BACKFLOWDEVICE SERIAL/#0. - <br /> ', <br /> -METER ISTALLATIONDATEBY <br /> WATER ON. OFF LOCKED OUI' BY 1•^' `T%. ' <br /> TSG <br /> REMARKS:... --{ <br /> , <br /> ,T7-74".W c: <br /> e <br /> SEWER SERVICE --', <br /> PERMIT NO. PERMIT TYPE ' -LID NO' '�' <br /> NEW C01�7NECTION : <br /> I <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the CityROW side per EMC 14:08--,2 '• ' <br /> -..x -..,'s <br /> 'NEW CONNNECTION' �,0.a � <br /> . ° ' x a: <br /> i G>i <br /> INSPECTED BY - I DATE '--' ...4:'...4:' <br /> FEES <br /> SEWER'UTILI.TY FEE ; $70.00 <br /> TOTAL FEES $70.00 <br /> PERMIT NUMBERU1904-012 <br /> ADDRESS COPY <br />