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CITY OF EVERETT <br />UTILITIES <br />S <br />EVERETT <br />PERMIT SERVICES <br />W A s H i N G T o N <br />PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U2107-021 <br />DATA 7/29/2021 <br />_JOB ADDRESS SU28 OCEAN AVE <br />LEGAL DESCRIPTION <br />DESCRIPTION Side Sever Rep4ir <br />N., 00571700.100301, <br />OWNER ELKE STEVE & ELLEN <br />TENANT <br />5028 OCEAN AVE <br />CONTRACTOR ` SOUTH WEST PLBG& WTRHTRS LLC <br />EVERETT <br />WA <br />2401 SWALASKA ST <br />SEA TTLE WA 98105. <br />PHONE <br />PHONE 2469321777 <br />WATER SERVICE <br />- SERVICE SIZE <br />. SERVICE TYPE <br />'FRONTAGE <br />NO. OF UNITS <br />SERVICE ORDER NO. - <br />APPLICATION NO <br />- <br />0.00 <br />I <br />SETTER INSTALLATION DATE BY <br />. <br />METERNO. - SIZE:. <br />.. 41 BACKFLOW DEVICE. SERIAL NO. - <br />.. <br />_ <br />R.F. NO. -. - <br />_. <br />Sg BACKFLOW DEVICE SERIALNO. '. .... �. <br />. <br />BRAND <br />- <br />MODEL NO. <br />- METER ISTALLATION DATE BY <br />- - <br />WATERON-_ OFF_ LOCKED OUT BY <br />.. <br />TSG <br />SEWER SERVICE <br />rERMrrNo. _ SP-18635 <br />PERMITTYPE SIDE SEWER REPAII <br />LroNO: <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 />_.I <br />DATE.... <br />FEES <br />Credit Card Fee <br />' 0.69 U <br />SEWER UTILITX FEE 30.00 <br />JUL 2 9 2021 <br />TOTAIFEES0.69 CITY <br />OF EVERETT <br />Per . Services, <br />PERMIT NUMBER U2107-021 <br />ADDRESSCOPY' <br />