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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> ••,4a. PERMIT <br /> 3200 CEDAR STREET <br /> EVgERETT,WA 982019❑1 <br /> PERMIT NUMBER U1904-0I 1 DATE o ^ ) � JO <br /> JOB ADDRESS 6009 FLEMING ST LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER ALTERATION <br /> APN: 00393200600900 <br /> OWNER POPACH VITALIYA/POPACH ROMAN TENANT <br /> 23020 EDMONDS WAY#S-311 <br /> EDMONDS WA 98020 CONTRACTOR FIRST PHASE CONSTRUCTION <br /> 17310 107TH AVE SE <br /> SNOHOMISH WA 98296 <br /> PI lONE <br /> PHONE 3606686713 <br /> WATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE FRONTAGE <br /> NO.OF UNITS <br /> 0.00 SERVICE ORDER NO <br /> I APPLICATION NO <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE <br /> - _ #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. <br /> #2 BACKFLOW DEVICE SERIAL.NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE BY _ - - �- - --- <br /> WATER ON_ OFF_ LOCKED OUT BY I-r� m",�...r.j <br /> TSG 1 1: J <br /> REMARKS: <br /> —i t.r:7 <br /> :I: :,c <br /> A9 <br /> ISEWER SERVICE <br /> I <br /> I PERMIT NO. <br /> PERMIT TYPE ALTERATION I LID NO. 'k,;P �,!_: I <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 /> 0 S. i <br /> .:-.7.-. .a <br /> -4 r_ .. <br /> INSPECTED BY: P.. <br /> I DATE <br /> FEES I <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER U1904-011 I <br /> ADDRESS COPY <br />