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11 <br /> UTILITIES <br /> CITY OF EVERETT 'k <br /> E V E R E T T PERMIT SERVICES <br /> WASH INQTON PERMIT: <br /> ET 3200 CEDAR STRE <br /> EVERETT,WA 98201 <br /> (425)257-8810 1 <br /> iv. <br /> PERMIT NUMBER U2111-045 DATE 11/17/2021 <br /> JOB ADDRESS 10429 ROSEWOOD AVE LEGAL DESCRIPTION ' ; <br /> DESCRIPTION Side Sewer Clean Out Install APN: 00710300004300 <br /> OWNER BRYAN MARK B TENANT <br /> '1'10429 ROSEWOOD AVE .> <br /> EVERETT WA CONTRACTOR SOUTH WEST PLBG&WTRETRS LLC k <br /> 2401 SW ALASKA ST <br /> SEATTLE WA 98106 <br /> r <br /> PHONE <br /> PHONE 2069321777 <br /> WATER SERVICE <br /> I p5M <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO „ : <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE. #1 BACKFLOW DEVICE SERIAL-NO..- aC', <br /> RF.NO.-. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. .,.. <br /> METER ISTALLATION DATE BY - i. <br /> :WATER ON OFF_ LOCKED OUT BY TSG <br /> .REMARKS: <br /> , <br /> SEWER SERVICE e. <br /> PERMIT NO PERMIT TYPE SIDE SEWER-REPA LID NO. - I. <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 /> rIk.. <br /> ,. <br /> INSPECTED BY: I DATE <br /> FEES 1I1i' rr <br /> ' ,a (Lll _ ., <br /> ': <br /> ,,,- <br /> Credit Card Fee 0.69 T _. <br /> A' <br /> SEWER UTILITY FEE 30.00 NO V 1 7 2021 <br /> CITY OF EVER rT <br /> Permit Services <br /> TOTAL FEES $30.69 <br /> PERMIT NUMBER U2111-045 1:` <br /> TREASURER ADDRESS FILE UTILITIES UTILITY BILLING <br />