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814 CROWN DR 2016-08-19
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814 CROWN DR 2016-08-19
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Last modified
8/19/2016 3:39:10 PM
Creation date
8/19/2016 3:39:09 PM
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Address Document
Street Name
CROWN DR
Street Number
814
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UTILITIES CITY OF EVERETT <br /> PERMIT PERMIT SERVICES <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1607-012 DATE: —,/_S _I b <br /> JOB ADDRESS 814 CROWN DR LEGAL DESCRIPTION HARBOR VIEW ADD TO EVERETT <br /> DESCRIP'rION SIDE SEWER REPAIR APN: 00464700000600 <br /> OWNER PEARSON JUDITH A TENANT <br /> 814 CROWN DR <br /> EVERETT WA 98203-1801 CONTRACTOR HOLMSTADS PLUMBING INC <br /> PO BOX 5635 <br /> PRONE, EVERETT WA 98206 <br /> PHONE 4252599131 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UMTS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 I <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE 11 BACKFLOW DEVICE SERIAL NO. <br /> R.F.N0--- I M2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> .METER ISTALLATION DATE_ BY <br /> T'l <br /> WATER ON OFF LOCKED OUT BY tea'i rfi <br /> TSG <br /> r+ <br /> REMARKS: <br /> 4. yy 1 <br /> .Af��jrl _ <br /> ' - <br /> SEWER SERVICE <br /> I V <br /> PERMIT NO. SP-16735 PERMITTYPE REPAIR LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City side Per ROW EMC 14. 2 Q{ <br /> ,160 <br /> 81 <br /> C4 G X-- <br /> IM1'SPF,C''LED BY: <br /> DATE: <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1607-012 <br /> ADDRESS COPY <br />
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