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EVERETT <br />WASHINGQTON. <br />UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EV,ERETT, WA 98201 <br />(4251257-RR10 <br />PERMIT NUMBER U2011-011 <br />DATE: 1 17/2020 <br />JOB ADDRESS 2209 21 ST ST <br />LEGAL DESCRIPTION <br />DESCRIPTION Side Sewer Repair <br />I N: 00401541801502 <br />OWNER TANNER STEPHEN C/WIMPARI KELSEY M <br />TENANT <br />2209 21 ST ST <br />EVERETT WA 98201 <br />CONTRACTOR DIRT CHEAP INC <br />2615 Russell Way, 3 <br />Everett WA 98204 <br />PHONE <br />PH 4255129652 <br />SERVICE SIZE I SERVICE TYPE I FR( <br />01 <br />'ICE <br />NO. OF UNITS SERVICE ORDER NO <br />0.00 <br />7771 <br />APPLICATION NO <br />- <br />SETTER INSTALLATION DATE BY <br />- <br />METER NO. SIZE <br />#1 BACKFLOW DEVICE SERIALNO. <br />RF.. NO. <br />H2 BACKPLOW DEVICE SERIAL NO. <br />BRAND <br />_. <br />MODEL NO. <br />METER ISTALLATION DATE BY <br />. <br />WATER ON_ OFF _ LOCKED OUT BY <br />- - TSG <br />REMARKS: <br />SEWER SERVICE <br />PERMIT NO. SP-1845 / - <br />PERMIT TYPE - SIDE SEWER REPAII <br />LID NO. <br />REMARKS: Please Note: The City is responsible <br />for structural defects in the side sewer on the City ROW side per EMC 14.08.240 <br />SIDE SEWER REPAIR <br />INSPECTED BY: I DATE <br />Credit Card Fee $0.69 <br />SEWER UTILITY FEE $30.00 <br />Fr) • I <br />TOTAL FEES $30.69 L1 d Z [tJ <br />Y � <br />PERMIT NUMBER U2011-011 <br />ADDRESS COPY <br />