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CITY OF EVERETT <br />UTILITIES <br />EVERETT <br />PERMIT SERVICES <br />WASHINGTON PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 , <br />PERMIT NUMBER U2108-049 <br />DATE 9/2/2021 <br />JOB ADDRESS 2116 MCDOUGALL. AVE <br />LEGAL DESCRIPTION <br />DESCRIPTION Emergency spot repair on sewer <br />APN 00439144002400 <br />OWNER CHAMBERLAIN DAVID PAUL & TANNIS MA] <br />TENANT SouthwestPlumb ne <br />2116 MCDOUGALL AVE <br />CONTRACTOR SOUTH WEST PLBG & WTRHTRS LLC <br />EVERETT WA <br />2401 SW ALASKA ST <br />SEATTLE WA 98106 <br />PHONE <br />PRONE2069321777 <br />WATER SERVICE _ <br />SERVICE SIZE- <br />SERVICE TYPE' <br />FRONTAGE : <br />'NO.OF UNITS <br />SERVICE NO <br />APPLICATION NO <br />0.00 <br />I <br />.SETTER INSTALLATION DATE - BY - - <br />METERNO." SIZE- - <br />#1 BACKFLOW DEVICE SERIAL NO. <br />- <br />R.F. NO: _ <br />#2.BACKFLOW DEVICE SERIALNO:. <br />.. <br />BRAND <br />MODEL NO. .. <br />MBTER ISTALLATION DATE _ BY <br />- - <br />WATER ON_ OFF.._ LOCKED OUT BY <br />REMARKS:. - - <br />TSG - - <br />- - <br />SEWER SERVICE <br />PERMIT NO. SP-18666 PERMITTYPB <br />SIDE SEWER- REPA <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 />INSPECTED BY: <br />- <br />DATE <br />FEES <br />- <br />Credit Card Fee <br />0.69 <br />SEWER UTILITY FEE <br />30.00 � SEP 0 2 2021 <br />CITY OF EVERETT <br />Permft. Services <br />TOTAL FEES <br />$30.69 <br />PE*T NUMBER U2108-049 <br />ADDRESS COPY <br />