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UTILITIES <br /> CITY OF EVERE.TT <br /> E V E R E T T PERMIT__ SERVICES <br /> WASHINGTON PERMIT - <br /> 3200 CEDAR STREET <br /> EVERETT,VSA 98201 <br /> (425)257 8810' <br /> PERMIT NUMBER U1909-029 DAz1 7 <br /> '£P <br /> JOB ADDRESS 1816 MCDOUGALL AVE. LEGAL DESCRIPTION <br /> DESCRIPTION: SIDE SEWER REPAIR APN 00438236302500'' <br /> OWNER BENDER BOBBIE J TENANT <br /> 1816 MCD.OUGALLAVE CONTRACTOR INTEGRITI'`SEWER&;SEPTIC INC <br /> EVERETT WA , 98201 2606 LARLIN DR <br /> EVERETT WA 98203 <br /> • <br /> PHONE <br /> PHONE 4255132223 ` <br /> ,, , . WATER SERVICE. <br /> SERVICE SIZE SERVICE TYPE c '"FRONTAGE -NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 000 <br /> .SE I IERINSTALLATION DATE BY <br /> a <br /> METER NO. SIZE -t,#1 BACKFLOW DEVICE`SERIALNO.-- - <br />, <br /> BRAND - MODEL NO. - <br /> METER ISTALLATION DATE ^ -BY - <br /> WATER ON_ OEF^.LOCKED OUT BY' ' <br /> I _ , <br /> SEWE$SERVICE ` ;` ; c7-� <br /> PERMIT NO. SP-18151 PERMIT TYPE REPAIR <br /> REMARKS ~Please Note The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14 ; ," <br /> SIDE SEWER REPAIR G-i Cyi <br /> INSPECTEDBY: :DATE - I""` <br /> FEES <br /> SEWER UTILITY FEE ` $30.00 .- <br /> TOTAL FEES" $3.0.00 <br /> I.PERMIT NUMBER U1909-029 <br /> •' ADDRESS COPY <br />