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UTILITIES <br /> 11111111111111111 CITY OF EVERETT <br /> EVERETT PERMITSERVICES <br /> W A S H I N G T a N PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2006-014 DATE 6/22/2020 <br /> JOB ADDRESS 641.5'ELLIOTT WAY LEGAL DESCRIPTION <br /> DESCRIPTION Replace existing 4"side sewer via pipe bursting APN.. 00392901101800 <br /> OWNER NW ELEMENTS DESIGN LLC TENANT <br /> 4704 268TH AVE NW CONTRACTOR FISCHER PLUMBING CO INC,THE <br /> REDMOND WA 98053 <br /> 6608 220TH ST SW. <br /> 1MLOUNTI,AIKE TERR WA -- 98043 <br /> PHONE <br /> PHONE 2067834129 <br /> WATER 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 - #1 BACKFLOWDEVICE-SERIAL NO. <br /> R.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 /> SEWER SERVICE <br /> PERMIT NO. - PERMIT TYPE I LID NO. O1„\\\�/ I <br /> SP-18353 SIDE SEWER REPAll AA'' <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 /> SIDE SEWER REPAIR (Li] <br /> INSPECTED INSPECTED BY: DATE .J11.. .. <br /> 1 paf O'Rvgiz <br /> Services <br /> Credit Card Fee $0.69 <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.69 <br /> PERMIT NUMBER U2006-014 <br /> ADDRESS COPY <br />