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CITY OF EVERETT <br />UTILITIES <br />EVERETT <br />PERMIT SERVICES <br />wA S H I N( To N <br />PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U2108-046 <br />DATE' 8/30/2021 <br />JOB ADDRESS 102 T RUCKER AVE <br />LEGAL DESCRIPTION <br />DESCRIPTION Emergency spot repair <br />on sewer <br />APN: 00385421500500 <br />OWNER SMITH CHARLES R & ADDIE L <br />TENANT SOUTH WEST PLUMBING & WATERH <br />1021 RUGKER AVE <br />CONTRACTOR SOUTH WEST PLBG & WTRHTRS LLC <br />EVERETT <br />WQ. 98201 <br />2401 SW ALASKA ST <br />SEATTLE' WA ' 98106 <br />PHONE <br />PHONE 2069321777 <br />WATER SERVICE <br />SERVICE SIZE ' <br />SERVICE TYPE." <br />: FRONTAGE <br />NO. OF UNITS <br />SERVICE ORDER NO <br />APPLICATION NO <br />0.00 <br />SETTER INSTALLATION DATE BY <br />METERNO. - SIZE <br />... <br />#1 BACKFLOW DEVICE. SERIALNO. <br />R.F. NO. <br />42 BACKFLOW DEVICE SERIAL NO:.. <br />'-BRAND <br />MODEL NO. <br />.. <br />METER ISTALLATION DATE BY <br />- <br />WATfRON_ OFF- LOCKED OUT BY <br />_ TSG- <br />REMARKS[ <br />SEWER SERVICE <br />PERMIT No - `. _ - SP-1.8664 <br />PERM TYPE .'.SIDE SEWER -REPA '. <br />LID NO. _ <br />REMARKS: Please Note: The 'City is responsiblefor structural defects in the side sewer on the City ROW side per EMC 14.08,260 <br />SIDE SEWER REPAIR <br />INSPECTED BY: <br />DATE <br />