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Lim <br /> UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1906-034 DATE: 1 3 JUN 2019 <br /> JOB ADDRESS 7702 RAINIER DR I <br /> LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER ALTERATION <br /> 1 APN: 00393600100500 <br /> OWNER YORK RODNEY T/BROSSARD DAVID E TENANT <br /> 2401 W MUKILTEO BLVD <br /> EVERETT WA 98203 CONTRACTOR ALLIED WATERPROOFNG& DRAIN <br /> 4231 S 3RD AVE <br /> PHONE EVERETT WA 98203 <br /> PHONE 4252581212 <br /> 1 WATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE <br /> FRONTAGE NO.OF UNITS <br /> I SERVICE ORDER NO. I APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE <br /> AI 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 -r,} <br /> TSG . ' <br /> REMARKS: a"` 3 <br /> f..l <br /> ^-i G.:) <br /> rT? r ri • <br /> SEWER SERVICE I <br /> I ' <br /> i 4—� <br /> PERMIT NO. \. <br /> PERM ALTERATION I , . I <br /> 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. ,,of �. <br /> tom, <br /> SIDE SEWER ALTERATION <br /> Q �° •? <br /> r_•4 LN <br /> �CIS T <br /> -..-I-I=.r...] <br /> INSPECTED BY: L•4 <br /> I DATE <br /> IFEES <br /> SEWER UTILITY FEE <br /> $30.00 <br /> TOTAL FEES $30.00 <br /> I PERMIT NUMBER U1906-034 <br /> 1 <br /> ADDRESS COPY <br />