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0 <br />UTILITIES <br />PERMIT <br />OTY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1709-020 I DATE: 09/15/2017 <br />1618 BAKER AVE <br />JOB ADDRESS I LEGAL DESCRIPTION <br />DESCRIPTION SIDE SEWER REPAIR C APN: 00438833202300 <br />OWNER FORCK SAMUEL E & WHITNEY D TENANT <br />1618 BAKER AVE CONTRACTOR PRICOR TECHNOLOGIES LLC <br />EVERETT WA2825 S 154TH ST <br />SEATTLE WA 98188 <br />PHONE <br />PHONE 2062420633 <br />WATER SERVICE <br />FRONTAGE NO. OF UNITS SERVICE ORDER NO. I APPLICATION NO. <br />0.00 <br />SERVICE SIZE I SERVICE TYPE <br />SETTER INSTALLATION DATE <br />METER NO. <br />R.F. NO. <br />BRAND - <br />METER ISTALLATION DATE By <br />WATERON OFF_ LOCKED OUT BY <br />REMARKS: <br />PERMIT NO. SP -17467 <br />BY <br />98201-2104 <br />I #1 BACKFLOW DEVICE SERIAL NO. - <br />#2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />PERMIT TYPE REPAIR <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0&49 <br />�PECTED BY: <br />�— — - — — FEES <br />SEWER UTILITY FEE $30.00 <br />TOTAL FEES $30.00 <br />DATE: <br />I PERMIT NUMBER U1709-020 — <br />ADDRESS COPY <br />-r_? <br />TSG <br />-' <br />t-, <br />rTl <br />r_7j <br />C <br />I LID NO. <br />hL{ <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0&49 <br />�PECTED BY: <br />�— — - — — FEES <br />SEWER UTILITY FEE $30.00 <br />TOTAL FEES $30.00 <br />DATE: <br />I PERMIT NUMBER U1709-020 — <br />ADDRESS COPY <br />