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3214 BROADWAY 2016-05-12
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3214 BROADWAY 2016-05-12
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Last modified
5/12/2016 2:22:17 PM
Creation date
5/11/2016 3:43:44 PM
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Address Document
Street Name
BROADWAY
Street Number
3214
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CITY OF EVERETT , <br /> UTILITIES <br /> °111",1111r-Ak' PERMIT SERVICES- <br /> •44a PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1410-020 DATE: ) [ -- f i- 7.0 J' 1 <br /> JOB ADDRESS 3214 BROADWAY LEGAL DESCRIPTION <br /> DESCRIPTION SEWER CAP OFF FOR DEMO'D HOUSE APN: 00439076302500 <br /> OWNER NORTH PUGET SOUND PARTNERS TENANT <br /> 110 110TH AVE NE#550 CONTRACTOR <br /> BELLEVUE WA 98004 <br /> PHONE <br /> PHONE <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS <br /> 0.00 SERVICE ORDER NO. APPLICATION NO. <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS: <br /> I SEWER SERVICE <br /> PERMIT NO. SP-15260 PERMIT TYPE I LID NO. I <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 /> j,"(//f / —/q I, <br /> Ae / DATE _ <br /> INSPECTED BY: />/,/�`_�J <br /> ii t/d v <br /> I FEES <br /> Sewer Utility Fee $10.00 SZ U <br /> k <br /> 1 <br /> TO POSTING 14.1' LL OCT 212014 j1, <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $10.00 <br /> PERMIT NUMBER U1410-020 <br /> PUBLIC WORKS COPY <br />
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