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' ' ' : ' ' .' ' ''' s' ''' '' i '''1': <br /> `'_ UTILITIES <br /> CITY OF EVERETT <br /> E V E R E T T PERMIT SERVICES <br /> WASHINGTON - PENT <br /> AR <br /> EVERETT3200CEDWA 9820STREET1 <br /> (425)257-8810 <br /> PERMIT NUMBER U1910-019 DATE 1 ()CT <br /> 2019- <br /> JOB ADDRESS 3509 SHORE AVE LEGAL DESCRIPTION 0 •! <br /> DESCRIPTIO l SIDE SEWER REPAIR APN. 00433600000200 <br /> OWNER BOURCELOT RUDY S`&LINDSAY R TENANT` <br /> 3509 SHORE AVE cON T ACTOR PRICOR TECHNOLOGIES LLC <br /> EVERETT WA 98203-1211 _ <br /> 2,825 S 154TH ST - <br /> SEATTLE WA 98188 <br /> PHONE <br /> PHONE , .2062420633_ <br /> IWATER 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 kl BACKFLOW DEVICE`SERIALNo. <br /> 42 BACKFLOW DEVICE SERIAL NO. <br /> BRAND -MODEL NO <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF_ LOCKED OUT BY TSG _ <br /> REMARKS <br /> -� MI . <br /> SEWER SER`4IGE <br /> PERMIT NO SP-18171 PERT TYPE REPAII. LID NO 'I <br /> R . <br /> REMARKS Please Note:The City is responsible for structural defects in the :idesewer on the-Ci y ROW side per EMC 14.08.260 <br /> SIDE SEWER REPAIR <br /> INSPECTED BY: -DATE <br /> I '- 2, , ,' - <br /> , ,.._ _ ,._ <br /> FEES �f ° <br /> I <br /> SEWER UTILITY FEE . g) , . .' . ' - . $30.00 <br /> OCT .10 2019 <br /> CITY OF EVRETT <br /> Permit Service <br /> TOTAL FEES - $30.00. :. <br /> IPERMIT NUMBER U1910-019 <br /> ADDRESS COPY <br />