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UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2111-037 DATE 11/10/2021 <br /> JOB ADDRESS 5 821 11TH AVE W LEGAL DESCRIPTION <br /> DESCRIPTION Repair sewer.just outside the foundation in the front yard APN 00836700007200 <br /> OWNER OLSEN KRIS TENANT <br /> 5821 11TH AVE W CONTRACTOR NW SEWER&DRAIN <br /> EVERETT WA 98203 PO BOX 55573 <br /> SEATTLE WA 98155 <br /> PHONE 4253306029 <br /> PHONE 2069317728 <br /> WATER SERVICE <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. <br /> R.F.NO. 42 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO, <br /> METER ISTALLATION DATE - BY <br /> WATER ON OFF_ LOCKED OUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-18715 PERMIT TYPE SIDE SEWER-REPA 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 /> Repair the side sewer line just outside the foundation located in the front yard <br /> INSPECTED BY. I DATE <br /> FEES " I <br /> Credit Card Fee 0.69 <br /> SEWER UTILITY FEE 30.00 NO V , 0 2021 <br /> CITY OF E VERF' <br /> Permit T <br /> Services <br /> TOTAL FEES $30.69 <br /> n( PERMIT NUMBER U2111-037 <br /> _TREASURER `\ ADDRESS FILE _UTILITIES UTILITY BILLING <br />