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UTILITIES CITY OF EVERETT <br /> EVERETT TK PERMIT SERVICES <br /> WASHINGTON- PERMIT - - <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1909-041 DATESEP 2019 <br /> JOB ADDRESS 1030 RUCKER AVE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN. 00468621403000 <br /> OWNER SCHMIDT DAVID N&JENNIFER D : TENANT <br /> I030 RUCKER AVE CONTRACTOR AA pLUMBING LLC <br /> EVERETT WA 98201-1515 8611 VISTARAIVIAAVE` <br /> PHONE EVERETT WA 98208 <br /> PHONE 4254890123 <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, - - #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND - - - MODEL NO <br /> METER ISTALLATION DATE - BY <br /> t WATER ON - OFF LOCKED OUT BY - - TSG - - _ <br /> REMARKS <br /> - .. n-_:f __,. <br /> I � <br /> SEWER SERVICE <br /> p� I <br /> PERMIT NO. SP-18158 PERMIT TYPE REPAIR i•�` <br /> LID NO. <br /> f#I- �-} <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0,�2a;� g• ,,,,•. <br /> SIDE SEWER REPAIR Pa r...`a <br /> --Pi.rrt r•..:3 <br /> INSPECTED BY I DATE - I--* <br /> I FEES <br /> I <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES • $30.00 <br /> PERMIT NUMBER U1909-041 <br /> ADDRESS COPY <br />