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1.1.111 <br /> UTILITIES CITY OF EVERETT <br /> ElmoEVERETT PERMIT SERVICES <br /> WAS H I N G TON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2205-092 DATE 5/26/2022 <br /> JOB ADDRESS 321 106TH PL SE LEGAL DESCRIPTION <br /> DESCRIPTION Emergency Side Sewer Spot Repair APN: 00742900003400 <br /> OWNER AINSWORTH DAVID R TENANT <br /> 321 106TH PL SE CONTRACTOR <br /> EVERETT WA 98208 SOUTH WEST PLBO&WTRHTRS LLC <br /> 2401 SW ALASKA ST <br /> SEAI.1'LE 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 /> Sh11ER INSTALLATION DATE BY <br /> METER NO.- :SIZE:.. _ #1 EACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2BACKFLOW 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 LID NO <br /> SP-18879 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 /> Emergency Side Sewer Spot Repair <br /> INSPECTED BY - I DA <br /> nn <br /> I FEES � I <br /> Credit Card Fee $0.69 HA/ 2 R 20 <br /> SEWER UTILITY FEE $30.00 C jT 2 <br /> Per�F;E y.ER <br /> ServicesEST <br /> TOTAL FEES $30.69 <br /> PERMIT NUMBER U2205-092 <br /> ADDRESS.COPY <br />