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I ma <br /> UTILITIES CITY OF EVERETT <br /> EVERETT T PERMIT SERVICES <br /> PERMIT WASHINGTON PE <br /> 11.11 1 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2002-008 DATE r C B 2020 <br /> JOB ADDRESS 1709 105TH ST SW LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00710300000500 <br /> OWNER DIAZ ELEAZAR R S&DE SEVILLA FLOR D TENANT MAX BOEHM <br /> 1709 105TH ST SW CONTRACTOR ROTO ROOTER SERVICES CO <br /> EVERETT WA 98204-3698 10655 INTERNATIONAL BLVD <br /> TUKWILA WA 98168 <br /> PHONE <br /> PHONE 4257732257 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE <br /> NO.OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE_ HI 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 _ 2c. <br /> —4 <br /> --f w <br /> REMARKS: <br /> c <br /> SEWER SERVICE <br /> PERMIT NO. <br /> SP-18278 PERMIT TYPE REPAIR 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.Q$,2tff <br /> SIDE SEWER REPAIR ='epi =' I...... <br /> E <br /> INSPECTED BY. I DATE ~' <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U2002-008 <br /> ADDRESS COPY <br />