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PflLITIES <br /> OTY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINOTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT, 98201 <br /> (425)257WA-8810 <br /> PERMIT NUMBER U2112-029 DATE 12/22/2021 <br /> JOB ADDRESS 620 LOTH ST LEGAL DESCRIPTION <br /> DESCRIPTION Cap off side sewer APN: 29051800204000 <br /> OWNER Brandon Whitaker TENANT PORT OF EVERETT <br /> 105 Craftsman Way STE 200 CONTRACTOR BURTON CONSTRUCTION INC <br /> Everett WA 98201 3915 E NEBRASKA AVE <br /> SPOKANE WA 99217 <br /> PHONE 4255086627 <br /> PHONE 4252139889 <br /> WATER SERVICE <br /> SERVICE SIZE 1 SERVICE TYPE 1 FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 0.00 <br /> SETTER INSTALLATION DATE BY - <br /> METER NO. SIZE SI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO, 92 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 <br /> NO. <br /> SP-18731 I' "'PE SIDE SEWER-CAP i I LID Na <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 /> Cap off side sewer Exist BLDG demoed with Permit D2105-002 <br /> INSPECTED BY: I DATE <br /> FEES g <br /> z 117-17 <br /> Credit Card Fee 0.23 DEC 2 2 2021 <br /> SEWER UTILITY FEE 10.00 <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $10.23 <br /> PERMIT NUMBER U2112-029 <br /> TREASURER DRESS FILE UTILITIES UTILITY BILLING <br /> Di 2)05 6vz- <br />