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aim <br /> �- UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 1�.i.i.L 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2203-027 DATE: 3/25/2022 <br /> JOB ADDRESS 2128 100TH ST SE LEGAL DESCRIPTION <br /> DESCRIPTION Emergency Side Sewer Spot Repair APN: 28052000204200 <br /> OWNER DUBA TERRELL S& SAMANTHA C TENANT <br /> 2128 100TH ST SE CONTRACTOR SOUTH WEST PLBG&WTRHTRS LLC <br /> EVERETT WA 98208-3835 <br /> 2401 SW ALASKA ST <br /> SEATTLE WA 98106 <br /> PHONE <br /> PHONE 2069321777 <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 /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. 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 /> INSPECTED BY: I DATE <br /> FEES <br /> Credit Card Fee $0.69 <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.69 <br /> PERMIT NUMBER U2203-027 <br /> ADDRESS�/ COPY <br /> K/l 1/li-1 <br />