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LITIES <br />Y OF EVERETT <br />E V E R E T T <br />PERMIT SERVICES <br />WASHINGTOlV <br />/� <br />PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U2001-025 <br />DATE <br />JOB ADDRESS 902 HOYT AVE <br />- LEGAL DESCRIPTION <br />_ <br />DESCRIPTION SIDE SEWER ALTERATION & WATER SERVICE LINE BEHINI <br />APN. 00553217403300' <br />OWNER Scott Pattison <br />TENANT <br />902 Hoyt Ave <br />CONTRACTOR OWNER <br />- EVERETT <br />WA 98201 <br />PHONE - 4258705605 <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE - <br />SERVICETYPE <br />FRONTAGE <br />NO OF UNITS <br />SERVICE ORDER NO '- <br />-APPLICATIONNQ <br />0.00 <br />.SETTER INSTALLATION DATE BY - <br />METER NO. ' SIZE <br />- <br />NI BACKFLOW DEVICE. SERIAL NO. <br />. <br />R.F. NO. - <br />-. R2 BACKFLOW DEVICE SERIAL NO. <br />BRAND . .. <br />.MODEL NO. <br />METER ISTALLATION DATE. BY <br />WATER ON_ OFF _. LOCKED OUT BY <br />TSG _ <br />REMARKS:. <br />SEWER SERVICE <br />PERMIT NO. SP-18272 <br />PER BT TYPE <br />ALTERATION , <br />Lm 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 />SIDE SEWER ALTERATION <br />INSPECTED BY: <br />DATE, <br />; <br />FEES <br />PLL)MBING FEES <br />$16;00DDI <br />SEWER UTILITY FEE <br />$A 00 <br />APR 0 9 2020 1 <br />LIT� Q ServiCRCSETT <br />TOTAL FEES <br />$40.00 <br />PERMIT NUMBER U2001-025. <br />ADDRESS COPY <br />