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UTILITIES <br /> Ili <br /> CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WAS T-1I/VGTON" PERMIT <br /> RT3 -CEDSTEE <br /> EVERETT;WA 98201 <br /> PERMIT NUMBER U2001 008 DATE;N420810 <br /> JOB ADDRESS," 1907 19TH ST LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN <br /> ` 0043793601403, <br /> OWNER- LINDSAY?HUNAN ELISTACE TENANT <br /> 19915 55TH AVE CONTRACTOR ' OWNER <br /> LAKE FOREST WA 98155 <br /> PHONE. 2065103644 <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE - SERVICE TYPE-- FRONTAGE NO OF UNITS . SERVICEORDER NO, APPLICATION NO <br /> D qO <br /> SETTER INSTALLATION DATE BY <br /> METER NO. = SIZE. - -'#1 BACKEIOW DEVICE:SERIALNO. <br /> ' RtP NO..' .,_ #2BACKPLOWDEVICESEEIALNO , <br /> BRAND MODEL-NO. - _ -. <br /> METER ISTALLATION DATE -BY - <br /> .WATER ON_ OFF_ LOCKED OUT -BY" ".` '- - TSG r «� -.. <br /> SEWER SERVICE <br /> PERMIT NO. SP-1 8 58 PERMIT TYPE \ REPAIR LID NO. - I... <br /> Jr 1: <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> SIDE SEWER REPAIR <br /> 'INSPECTED BY: DATE <br /> FETES I <br /> SEWER UTILITY FEE $30.00 .., <br /> • <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER U2001-008 <br /> ADDRESS COPY • <br />