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11229 19TH AVE SE 2017-08-25
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11229 19TH AVE SE 2017-08-25
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Last modified
8/25/2017 3:43:32 PM
Creation date
8/25/2017 3:43:30 PM
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Address Document
Street Name
19TH AVE SE
Street Number
11229
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OrILITIES 0ITY OF EVERETT <br /> PERMIT SERVICES <br /> 77 PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1612-019 DATE: <br /> JOB ADDRESS 11229 19TH AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION CAP SEWER FOR DEMO OF SFR&DETACHED GARAGE APN. 00574700101903 <br /> OWNERSILVER LAKE TOWNHOMES LLC TENANT <br /> 19528 VENTURA BLVD#573 CONTRACTOR OWNER <br /> TARZANA CA 91356 <br /> PHONE <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE FRONTAGE 50.OF!,N fS SERVICE ORDER NO. APPLICATION NO. <br /> I 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. I #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF_ LOCKED OUT BY TSG ;a't <br /> 1.. I�. <br /> '=i_A <br /> REMARKS: Cr.) <br /> �a m <br /> .�, <br /> o w` <br /> r..:i <br /> SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE LID NO. <br /> CAP OFF <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per <br /> CAP OFF ` Irl r.:)x z) F� <br /> --'i r-1 <br /> INSPECTED BY: I DATE: <br /> FEES <br /> SEWER UTILITY FEE $10.00 <br /> TO POSTI1'V7"__*_'7 ZN V1 <br /> TOTAL FEES $10.00 <br /> PERMIT NUMBER U1612-019 <br /> ADDRESS COPY <br />
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