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SERVICE SIZE.' SERVICETYPE FRONTAGE NO. OF UNITS - SERVICE ORDER NO APPLICATION NO <br />0.00 <br />SETTER INSTALLATION DATE <br />BY <br />t IBTERNO..:` <br />SIZE -, <br />#1 BACKFLOW DEVICE: SERIAL NO. <br />R.F. NO. <br />#2 BACKFEOWDEVICE SERIALNO.- <br />, <br />..:BRAND <br />�.. <br />MODEL NO. <br />[METER ISTALLATION DATE <br />BY <br />WATER ON OFF LOCKED OUT <br />BY TSG <br />REMARKS:.. <br />SEWER SERVICE <br />PERMIT NO. _ SP-I8650 <br />PERMITTYPE SITE. SEWER REPAn.. <br />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 />SIDE SEWER REPAIR <br />. <br />INSPECTED BY: <br />.- <br />DATE .... _. <br />FEES <br />Credit Card Fee 0.69 <br />SEWER UTILITY FEE 30.00 <br />AUG2021 <br />CITY OF EVERETT <br />Permit Services <br />TOTAL FEES $30.69 <br />PERMIT NUMBER U2108 027 <br />ADDRESS COPY <br />