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U i'ILITIES .y OF EVERETT <br /> 114,-a PERMIT SERVICES <br /> 'AdPERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425))257-8810 <br /> PERMIT NUMBER UI806-OO1 DATE 5 JUN lU ld <br /> JOB ADDRESS 925 112TH ST SE A,B&C LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER CAP OFF(ONE CAP FOR A,B&C) APN: 28051900301200 <br /> OWNER HABITAT FOR HUMANITY OF SNOHOMISH( TENANT HABITAT FOR HUMANITY OF SNO C( <br /> 925 112TH ST SE CONTRACTOR OWNER <br /> EVERETT WA 98208-5025 <br /> PHONE <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. _ _ SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. __ _ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND _- MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF_ LOCKED OUT BY TSG . <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-17719 PERMIT TYPE <br /> 7 CAP OFF LID NO. <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 /> • <br /> SIDE SEWER CAP OFF .: - y- : <br /> INSPECTED BY: OF I <br /> FEES <br /> SEWER UTILITY FEE $10.00 <br /> TOTAL FEES $10.00 <br /> PERMIT NUMBER U1806-001 <br /> ADDRESS COPY <br />