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UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> W A S H I N G T o N PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT.NUMBER U2001-032 DATE 3 1 JA N 2(120 <br /> JOB ADDRESS LEG` <br /> 291=4 16THST ALnEscRiPTlorr, <br /> DESCRIPTION SIDE SEWER REPAIR APN. 00576432800700 <br /> OWNER BURHART KARRI TENANT MIEDEMA DAVID <br /> 2914 16TH ST CONTRACTOR ROTO ROOTER SERVICES CO <br /> EVERETT WA 98201 10655 INTERNATIONAL BLVD <br /> TUKWILA WA 98168 <br /> PHONE <br /> PHONE 4257732257 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE - - NO.OP UNITS - SERVICE ORDER NO - APPLICATION- NO <br /> Q.00 <br /> SETTER INSTALLATION DATE - BY - - - - - - - <br /> METER NO.- SIZE - #1 BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. - #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND - - -MODEL NO. - - - <br /> METER ISTALLATION DATE - - BY- - - - <br /> -o- 7"1 <br /> WATER ON OFF_ LOCKED OUT - BY - -TSG - .- "C:j <br /> "-;!- <br /> REMARKS: `CI� �K�f F <br /> . ZE <br /> SEWER I SERVICE � <br /> PERMIT NO...., PERMIT TYPE REPAIR I LID NO. :83 8 .I <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.26V Y <br /> SIDE SEWER REPAIR p`. H <br />- - - - C:7 I".7 G.r3 <br /> : - y"� / .. <br /> INSPECTED BY <br /> ... �. - I DATE ! f h` <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U2001-032 <br /> ADDRESS COPY <br />