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imull <br /> ■ UTILITIE CITY OF•EVERETT <br /> S <br /> EVERETT PERMIT SERVICES <br /> vvA s H I N«i-o N PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2005-017 DAB <br /> JOB ADDRESS 6313 CYPRESS ST LEGAL DESCRIPTION <br /> DESCRIPTION Side sewer spot repair APN 00541900002204 <br /> OWNER CLOUD WILLIAM R TENANT <br /> PO BOX2508 <br /> EVERETT WA 98213 CONTRACTOR MR ROOTER <br /> 2000 S 116TH ST <br /> SEATTLE" WA '98168 <br /> PtONE <br /> PHONE 2066512917 <br /> WATER SERVICE= <br /> SERVICE SIZE SERVICE TYPE` FRONTAGE 'NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 0.D0 <br /> Sll IRR INSTALLATION DATE 'BY - - -- - - - <br /> '.• METER NO - - - - SIZE- -_ -._- MI BACKFLOW DEVICE SERIAL NO <br /> R.P.NO.. -- - - - rig BACKFLOW DEVICE SERIAL NO - - <br /> BRAND - - MODEL NO. - - - - <br /> METERISTALLATION DATE - BY - - - - - - - - - - - - <br /> WATER ON OFF LOCKED OUT' .- -BY TSG <br /> ' SEWER SERVICE <br /> Nit 1 <br /> PEW°NO. SP-18336 - - PERMITTYPE SIDE SEWERREPAII <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side p EMC 14.08.260. <br /> SIDE SEWER REPAIR @ @ al]8 <br /> INSPECTED BY: - - - I DA Mq-! /6 <br /> C <br /> I,„ <br /> E �,�;'a FES f <br /> Credit Card Fee $0.69 h 4C�g v <br /> SEWER UTILITY FEE $30.00 <br /> • <br /> TOTAL FEES $30.69 <br /> PERMIT NUMBER . U2005 017 <br /> ADDRESS COPY <br />