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2915 PINE ST 2020-12-23
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2915 PINE ST 2020-12-23
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Last modified
12/23/2020 3:04:45 PM
Creation date
12/23/2020 3:04:36 PM
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Address Document
Street Name
PINE ST
Street Number
2915
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` r. ILITIE S <br /> Y OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> W sHINc3T0ty PERNIIT <br /> A 3200 CEDAR STREET <br /> EVERET'r,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U200.4-013 DATE <br /> JOB ADDRESS 2915 PINE ST LEGAL DESCRIPTION <br /> DESCRIPTION SEWER CAP OFF APN: 00593669501300 <br /> OWNER KAISER FOUNDATION HEALTH PLAN OF WI TENANT <br /> 130E SW 27TH ST CONTRACTOR NORTHSTAR co LP <br /> RENTON WA 98057 1201 S CHILDERS RD <br /> ORANGE TX 77630 <br /> PHONE <br /> PHONE 4098863959 <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 - NI BACKFLOW DEVICE SERIAL NO. <br /> ILF.NO. - - #2 BACKFLOW DEVICE SERIAL NO. <br /> MODEL NO. <br /> METER ISTALLATIONDATE BY - - <br /> WATER ON OFF_ LOCKED OUT BY - - - TSG - - <br /> REMARKS: <br /> SEWER SERVICE` <br /> PERMIT NO. SP-1831.4 _ PERMIT TYPE CAP OFF - ' LID NO: - I. <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 /> SEWER CAP OFF <br /> INSPECTED BY: - - I `DATE <br /> FEES <br /> SEWER UTILITY FEE $10.00 C <br /> APR 2 1 2020 I) <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $10.00 <br /> PERMIT NUMBER U2004-013 <br /> ADDRESS COPY <br />
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