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UTILITIES CITY OF EVERETT <br /> #11111AY-IP'A <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1602-035 DATE: 2/12/2016 <br /> JOB ADDRESS 2623 CLEVELAND AVE LEGAL.DESCRIPTION MITCHELL LAND& IMP CO S 1ST <br /> DESCRIPTION REPAIR SIDE SEWER APN: 00516859200300 <br /> OWNER MCLANE KENNETH R JR TENANT <br /> 2623 CLEVELAND AVE CONTRACTOR A+SEWER TECHNOLOGIES LLC <br /> EVERETT WA 98201 900 MERIDIAN E STE 19-193 <br /> MILTON WA 98354 <br /> PHONE <br /> PHONE 8882167656 <br /> I WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS <br /> 0.00 SERVICE ORDER NO. I APPLICATION NO. <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE NI BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF_ LOCKED OUT BY TSG m •I m <br /> —J • f) <br /> 1-- �I 1 <br /> REMARKS. —4 e <br /> —i Cry <br /> 1 m <br /> r I- o <br /> -.. .rt <br /> 1 2' 2'.. <br /> C. <br /> I :;c� I <br /> *ia m r• <br /> SEWER SERVICE �•, I <br /> Na 1PERMIT NO. SP-16532 PERMIT TYPE REPAIR I LID NO <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.26(0 <br /> a <br /> G 0 p <br /> O 0 C' -3 Cr, <br /> C 1 <br /> 4L_JLJ <br /> INSPECTED BY: I DATE: [?J <br /> I FEES <br /> Sewer Utility Fee $30.00 <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1602-035 <br /> ADDRESS COPY <br />