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r <br /> u I'ILITIES TY OF EVERETT <br /> PERMIT SERVICES <br /> `Alla PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1609-066 DATE: /61/it <br /> 61 /i(JOB ADDRESS 5020 RUCKER AVE LEGAL DESCRIPTION CLAISE;MO(,(cei <br /> T HEIGHTS BLK 000 C <br /> DESCRIPTION SIDE SEWER REPAIR& INSTALL BACKWATER VALVE APN: 00410200013602 <br /> OWNER FORBES PHYLLIS I TENANT <br /> 5020 RUCKER AVE CONTRACTOR NW SEWER&DRAIN <br /> EVERETT WA 98203 <br /> 6 213TH ST SW <br /> BOTHELL WA 98021 <br /> PI ION I, <br /> PHONE 2069315989 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> ''Tl C) <br /> WATER ON OFF LOCKED OUT BY TSG 1 Cri <br /> I-. '::i 1 <br /> I- <br /> REMARKS: --i ° <br /> C.J <br /> yy 1:::1 821._rrt L <br /> rn n rn <br /> SEWER SERVICE c.-) <br /> 1.. I <br /> PERMIT NO. SP-16906 PERMIT TYPE ALTERATION LID NO. ° ` <br /> (..k! <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08,20 i'"-;1 <br /> • •..Ci <br /> INSPECTED BY: I DATE: I C..1 <br /> FEES I <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> TING C "1. / ( PERMIT NUMBER U1609-066 I <br /> TO POS <br /> ADDRESS COPY <br />