Laserfiche WebLink
on PHLITIES <br /> glITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> V V A s H I N Gi T o 1V PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810_ <br /> PERMIT NUMBER U2004-.009 DATE <br /> JOB ADDRESS 2919 PINE ST LEGAL DESCRIPTION <br /> DESCRIPTION SEWER CAP OFF N: <br /> u AP 00439069503100 <br /> OWNER KAISER;FOUNDATION HEALTH PLAN OF WI TENANT <br /> 1300 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 - '0.00 <br /> SLi}ER INSTALLATION DATE - BY - - - <br /> METER NO:.::.: : -SIZE - - '#1 BACKFLOW DEVICE SERIAL NO. <br /> #2 BACKFLOW DEVICE SERIALNO; <br /> _- BRAND - MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON_OFF_ LOCKED OUT BY TSG <br /> REMARKS:' <br />• SEWER SERVICE <br /> PERMIT NO. SP-1831.1 PERMIT TYPE CAP OFF LID NO. <br /> REMARKS: Please Note:The.City is responsible for structural defects in the side sewer on the City ROW side per EMC14.08.260 <br /> SEWER CAP OFF <br /> INSPECTED BY: - - I DATE <br /> FEES <br /> SEWER UTILITY FEE $10.00 <br /> APR 2 1 2020 <br /> CITY OF EVERETT <br /> TOTAL FEES $10.00'"_ Permit Services- <br /> PERMIT NUMBER U2004-009 <br /> I I <br /> ADDRESS COPY <br />