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UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT PERMIT SERVICES <br /> W N ASHI9T01V <br /> YE1�111IT ... <br /> 3200`CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2103-007 DATE 3/4/2021 <br /> JOB ADDRESS 3011 21ST ST LEGAL DESCRIPTION <br /> DESCRIPTION Install yard clean out on main sewer APN: - 00553101201300 <br /> OWNER HALL RICHARD W TENANT <br /> 3011 21ST ST CONTRACTOR SOUTH WEST PLBG&WTRHTRS INC <br /> EVERETT WA <br /> 2401 SW ALASKA ST <br /> SEATTLE WA 98106 <br /> PHONE <br /> PHONE 2069321777 <br /> WATER SERVICE <br />.. SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 0.00 <br /> BETTER INSTALLATION DATE BY - - <br /> METER NO.. - SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> ILF.NO. #2 BACKFLOW DEVICE SERIALNO. <br /> BRAND MODEL NO. <br /> METERISTALLATION DATE. BY <br /> WATER ON OFF_ LOCKED OUT . BY TSG <br /> REMARKS; <br /> SEWER SERVICE <br /> PERMIT NO. SP-18527 PERMIT TYPE SIDE SEWER REPAI] LID NO. <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 /> INSTALL CLEAN OUT <br /> INSPECTED BY: . DAM <br /> FEES I <br /> Credit Card Fee 0.69 SEWER UTILITY FEE 30.00 MAR 0 4 2021 <br /> CITY OF EVERETT' <br /> Permit Services <br /> TOTAL FEES $30.69 <br /> PERMIT NUMBER U2103-007 <br /> ADDRESS COPY <br />