Laserfiche WebLink
UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER � U1606-059 DATE: �. Z3 `(C] <br /> JOB ADDRESS 771 RCASINO RD LEGAL DESCRIPTION BEVERLY PARK PLAT OF BLK ON <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00393900800900 <br /> OWNER MALSBERRY BENJAMIN&SUZANNE TENANT <br /> 7708 BEVERLY BLVD CONTRACTOR HOLMSTADS PLUMBING INC <br /> EVERETT WA 98203-6715 <br /> PO BOX 5635 <br /> EVERETT WA 98206 <br /> iii 10Nk <br /> PHONE 4252599131 <br /> WATER SERVICE <br /> SERVICE SIZE. I SERVICE TYPE I FRONTAGE. NO,OF UNITS SERVICE ORDERNO. APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE MI BACKFLOW DEVICE SERIAL.NO. _ <br /> R.F.NO. - I 42 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. _ <br /> METER ISTALLATION DATE BY <br /> n F-± <br /> WATER ON_ OFF LOCKED OUT BY TSG Tt n j <br /> i-+ <br /> REMARKS: 11;=4 <br /> ';r7 IT7 <br /> yr. <br /> SEWER SERVICE <br /> F.') <br /> �y <br /> PERMITNO. PERMIT TYPE REPAIR LID NO. <br /> r <br /> � S <br /> R1�:.NIARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EM2'66}C 14.0 y t _ <br /> r_.L t.tel <br /> 3 <br /> --a LT1 <br /> INSPECTED BY. I DATE. <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1606-059 <br /> ADDRESS COPY <br />