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UTILITIES CITY OF EVERETT <br /> PERMIT PERMIT SERVICES <br /> EVERETT <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwo.pov <br /> PERMIT NUMBER: U2205-072 ISSUED DATE: S/18/2022 <br /> JOBADDRESS: 421 MADISON AVE LEGALDESCR: <br /> DESCRIPTION: REPAIR WATER LINE BEHIND METER APN: 28050600301700 <br /> OWNER: DOLIANGPHACHANH JESSICA TENANT: <br /> 421 MADISON ST CONTRACTOR: OWNER <br /> EVERETT WA 98203 <br /> PHONE: (206)261-3592 PHONE: <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE 41 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. fit BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATERON OFF LOCKEDOUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> SEWER PERMIT NO. PERMIT TYPE WATER LINE BEHIND METER 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: DATE: <br /> FEES <br /> PLUMBING FEES $35.00 <br /> TOTAL FEES $35.00 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NO: U2205-072 <br /> UTILITIES UTILITY BILLING <br /> Utilities Copy <br />