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UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES '1 <br /> WASH I N G T O N PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2111-003 DATE 12/13/2021 <br /> JOB ADDRESS 2115 120TH PL SE LEGAL DESCRIPTION :1; <br /> DESCRIPTION Straight repair and cleanout install in place APN: 00463900100601 <br /> OWNER BUSSARD JACK L&SHANNON W TENANT <br /> PO BOX 14141 CONTRACTOR HYDROMAX USA LLC <br /> MILL CREEK WA 98082 2501 S KENTUCKY AVE <br /> 1''. <br /> EVANSVILLE IN 47714 <br /> PHONE <br /> PHONE 8129253930 <br /> WATER SERVICE <br /> SERVICE SIZE 1 SERVICE TYPE 1 FRONTAGE NO OF UNITS - SERVICE ORDER NQ APPLICATION NO <br /> 0.00 1. <br /> Sh 1 I tR INSTALLATION DATE- BY i.. <br /> METER NO. - - SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. ' <br /> BRAND MODEL NO. ` <br /> METER ISTALLATION DATE BY �l <br /> WATER ON TSG_ OPF_ LOCKED OUT BY - <br /> REMARKS:.' - -,:.... <br /> a le <br /> SEWER SERVICE <br /> k <br /> PERMIT NO PERMrf TYPE LID NO. - , <br /> SP-18703 SIDE SEWER-REPA <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 /> Straight repair and cleanout install in place <br /> INSPECTED BY: _... I DATE �,. <br /> i. <br /> FEES <br /> Credit Card Fee 0.69 8 qj <br /> SEWER UTILITY FEE - 30.00 <br /> DEC 13 2021U _'. <br /> 4': <br /> 3 <br /> CITY OF EVERETT <br /> E i) ,,' <br /> TOTAL FEES $30.69 Permit Services <br /> PERMIT NUMBER U2111-003 .-- <br /> 1 <br /> _TREASURER _ADDRESS FILE _UTILITIES _UTILITY BILLING - - ,;;ti.... <br />