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iiri• UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2105-011 DATE 5/11/2021 <br /> JOB ADDRESS ,3527 SHORE AVE LEGAL DESCRIPTION <br /> DESCRIPTION Side Sewer Repair APN: 00433600000500 <br /> OWNER PETERSON KRISTIAN H&DENISE A TENANT <br /> 431 203RD PL SW CONTRACTOR ROTO ROOTER SERVICES CO <br /> LYNNWOOD WA 98036 10655 INTERNATIONAL BLVD <br /> TUKWILA WA 98168 <br /> PHONE <br /> PHONE 4257732257 <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 BACKFLOW DEVICE SERIAL NOI <br /> RF.NO. b2 BACKFLOW DEVICE SERIAL NO... <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. _ PERMIT TYPE . LID NO. <br /> SP-18590 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 BY:.. I DATE <br /> FEES <br /> Credit.Card Fee 0.69 <br /> SEWER UTILITY FEE 30.00 MAY 11 2021 <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES . $30.69 <br /> PERMIT NUMBER U2105-011 <br /> ADDRESS COPY <br />