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UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> 7r1 <br /> WASMINGTON 1 ERMI1 <br /> 3200 CEDAR STREET <br /> EVERETT WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2105-022 DATE 5/26/2021 <br /> JOB ADDRESS 510 WINTON AVE LEGAL DESCRIPTION <br /> DESCRIPTION Side Sewer Repair APN: 00497100007400 <br /> OWNER THURSTON DARRELL D&GEORGIANNE M TENANT <br /> 510 WINTON AVE CONTRACTOR MR ROOTER <br /> EVERETT WA 2000 S 116TH ST <br /> SEATTLE WA 98168 <br /> PHONE <br /> PHONE 2066512917 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 0.00 <br /> SE!IER INSTALLATION DATE BY <br /> METER NO. - SIZE -.. pI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO: - N2 BACKFLOW DEVICE SERIAL NO: <br /> BRAND MODEL NO <br /> METER ISTALL.ATION DATE BY <br /> WATER ON_OFF_ LOCKED OUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMrr NO PERMIT TYPH I LID NO. <br /> SP-18598 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 <br /> 0.69 <br /> SEWER UTILITY FEE 30.00 <br /> MAY 2 6 2021 J <br /> CITY OF EVERETT <br /> TOTAL FEES $30.69 Permit Services <br /> PERMIT NUMBER U2105-022 <br /> ADDRESS COPY <br />