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UTILITIES CITY OF EVERETT_ <br /> EVERETT PERMIT SERVICES` <br /> wA S H I N G T ON PERmi l 3200.CEDAR STREET <br /> EVERETT;WA 98201 <br /> (425)257-8810 • <br /> PERMIT:NUMBER U2005-018 DATE <br /> JOB ADDRESS 3012 15TH ST LEGAL DESCRIPTION <br /> DESCRIPTION 5'spot repair on side sewer APN. 00438731400403 <br /> OWNER - JENSEN BETTY ANNA.; TENANT 1501 WALNUT -` <br /> CONTRACTOR . PRICOR TECHNOLOGIES LLC <br /> EVERETT WA 98020 <br /> 2825 8 154TH ST- -_ <br /> Seattle WA 98.188 <br /> PHONE <br /> PHONE 2062420633 <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 Fl BACKFLOW DEVICE SERIAL NO. - - - -- - - <br /> R.F.NO. - - - - #2-BACKFLOW DEVICE SERIAL NO. - - - - <br /> -BRAND - MODEL NO - <br /> METER ISTALLATION DATE - .BY - - - - - <br /> WATEA•ON_ OFF_ LOCKED;OUT BY r • TSG.„, ,, -:). <br /> SEWER SERVICE <br /> PERMIT <br /> NO. SP-18337 . PERMITTYPE SIDE SEWER REPAI] <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 <br /> INSPECTED BYt5 a (Ili 8 <br /> :. <br /> FEES <br /> Credit Card Fee $0.69 <br /> SEWER UTILITY FEE $30.00 <br /> MAY 2 0 2(120 <br /> °CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.69 <br /> PERMIT NUMBER U2005 018. <br /> ADDRESS COPY <br />