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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 U1907-033 ` DATE <br /> JOB ADDRESS 2501 5TH ST LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN. 00497100001800 <br /> '. OWNER MCNEIL WILLIAM G ' TENANT <br /> 2501 5TH ST CONTRACTOR HOLMSTADS PLUMBING INC <br /> EVERETT WA 98201-1108 PO BOX 5635 <br /> EVERETT WA. 98206 <br /> PHONE <br /> PHONE 4252599131 <br /> WATER SERVICE <br /> SERVICE SIZE ` SERVICE TYPE - FRONTAGE NO OF UNITS SERVICE ORDER NO :. APPLICATION NO <br /> -SETTERINSTALLATIONDATE BY - _ <br /> METER NO. ' SIZE - #1 BACKFLOW DEVICE.SERIAL NO <br /> #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY �,,I <br /> .".° -4 rI <br /> �.- <br /> WATERON_ OFF LOCKED OUT BY- TSG m. <br /> ISEWER SERVICE c' I 1, <br /> PERMIT NO. PERMIT TYPE REPAIR LID NO. 1.":'`g <br /> LPi <br /> REMARKS: Please Note:The City is responsible for structural defects in the::side sewer on the City ROW side per EMC 14.0 ' <br /> INSPECTED BY: - _ I DATE I""` <br /> TEES �. <br /> SEWER UTILITY FEE, • $30.00 <br /> TOTAL FEES. $30.00 <br /> PERMIT NUMBER ` U1907-033,: <br /> I <br /> ADDRESS COPY <br />