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EVERETT <br /> UTILITIES CITY OF <br /> PERMIT SERVICES <br /> 7T PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMITNUMBER U1006-052 DATE 6/9/2010 <br /> JOB ADDRESS 12 76TH ST SW LEGAL DESCRIPTION <br /> DESCRIPTION SEWER CAP OFF FOR DEMO APN. 00393500000106 <br /> OWNER SANDAVOL C JR TENANT <br /> 12 76TH ST SW CONTRACTOR LES WHITE CONSTRUCTION <br /> EVERETT WA <br /> 308 73RD SW <br /> EVERETT WA 98203 <br /> PHONE 4252905634 <br /> PHONE 4253559680 <br /> WATER SERVICE <br /> SFRVICFSI/1 SERVICEIYIE IRON'I A0-: NO.OF UNITS SERVICE ORDER NO. APPLICATION'. <br /> 0.00 <br /> SETIT.R IN91ALLAIION DA CI: +F - <br /> M171-ER NO _ _ <br /> BRAND <br /> MFrER ISIALI.ATION DATE NY <br /> T <br /> WATER ON_ Ot't'_ LCK;K1iD OUT 13Y TSG .,r i C; <br /> REMARKS: �� " <br /> I,}rTl is J G-) <br /> 1 <br /> t_j Try <br /> SEWER SERVICE <br /> iJ <br /> I_ <br /> I'F.RMrf NO P-14203 I't:RMI'I"fY19 CAP OFF '''°"°S <br /> REMARKS' 3 Q <br /> r'- era <br /> i <br /> INSPFc-rE NY f //� DA �m 61 <br /> FEES <br /> Sewer Utility Fee $10.00 <br /> TO POSU. _. . <br /> TOTAL FEES $10.00 <br /> PERMIT NUMBER U1006-052 <br /> PUBLIC WORKS COPY <br />