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wi.1 ti fILITIES <br /> rnTY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 5 OCT425)1257-8810 <br /> PERMIT NUMBER U1910-023 DATE 1OCz0 19 <br /> JOB ADDRESS 1210 MADRONA ; y9' LEGAL DESCRIPTION <br /> — <br /> DESCRIPTION Replacing section of old sewer line APN: 00505700001601 <br /> OWNER Brent Gilliam TENANT <br /> 1210 Madrona AVE CONTRACTOR William Taylor <br /> Everett Wa 98203 12913 12th PI NE <br /> Lake Stevens WA 98258 <br /> PIIONF 7736274292 <br /> PHONE 4253301230 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE PRON"I AGE NO.OF UNITS SERVICE ORDER NO. APPLICATION ND <br /> 1.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> S.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 /> SIDE SEWER REPAIR-REPLACE SECTION OF OLD SEWER LINE <br /> REMARKS: <br /> ISEWER SERVICE <br /> PERMIT NO. SP-18175 PERMIT TYPE SIDE SEWER REPAI:: I 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 /> as all 6 r.`.,, <br /> OCT <br /> INSPECTED BY: <br /> 15 2019 <br /> I FEES C9 rip E',IE�� A 1 I <br /> PrnlIt.Scrvrces <br /> Credit Card Fee $0.69 <br /> SEWER UTILITY FEE $30.00 <br /> ok <br /> TOTAL FEES $30.69 <br /> iPERMIT NUMBER U1910-023 <br /> ADDRESS COPY <br />