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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1601-014 DATE: 1/14/2016 <br /> JOB ADDRESS 2316 CLEVELAND AVE LEGAL DESCRIPTION UNION TRUST CO S 1ST ADD TO I <br /> DESCRIPTION SIDE SEWER REPAIR ATN: 00602850902600 <br /> OWNER SCHMIDT JOHN TENANT <br /> 2316 CLEVELAND AVE CONTRACTOR SOUTH WEST PLUMBING <br /> EVERETT WA 98201 2401 SW ALASKA ST <br /> SEATTLE • WA 98106 <br /> PHONE <br /> PHONE 2069321777 <br /> IWATER SERVICE I <br /> • SERVICE SIZE <br /> I SERVICE TYPE FRONTAGE <br /> NO.OF UNITS 0.00 I SERVICE ORDER NO. I APPLICATION NO11 . <br /> I <br /> SETTER INSTALLATION DATE BY <br /> _. <br /> El BACKFLOW DEVICE SERIAL NO. <br /> METER NO. SIZE <br /> R.F.NO. 10 BACKFLOW DEVICE SERIAL NO. ___ _ <br /> BRAND MODEL NO _______ ____- _ <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF_ LOCKED OUT BY TSG ___.- 77 7 <br /> •c <br /> _- l- H I'...4 <br /> -I • <br /> InREMARKS. - 4 U7 <br /> 1 rn <br /> - .11_, <br /> r. . <br /> SEWER SERVICE a"I I <br /> rai 1PERMIT NO. SP-16484 PERMIT TYPE REPAIR I LID NO. f•• <br /> Lp1 --. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.2 U C...: <br /> �,, <br /> 0 <br /> I--'. <br /> ._ <br /> -4 F....1--7. <br /> �'T <br /> I DATE: r^'O <br /> INSPECTED BY: f--��` <br /> IFEES I <br /> Sewer Utility Fee $30.00 <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER U1601-014 I <br /> ADDRESS COPY <br />