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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 U1709-013 DATE: 09/12/2017 <br /> JOB ADDRESS 1321 BRUSKRUD RD LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 28051900101700 <br /> OWNER TRAILSIDE PRESERVATION LP TENANT TRAILSIDE VILLAGE <br /> 21515 HAWTHORNE BLVD STE 390 CONTRACTOR RESCUE ROOTER <br /> TORRANCE CA 90503 175-A ROY RD SW#101 <br /> PACIFIC WA 98047 <br /> PlioNF <br /> PHONE 4253351427 <br /> WATER SERVICE <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 N1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. N2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP 17460 PERMIT TYPE REPAIR LID No. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: I DATE: <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> SEP 1Z 2017 <br /> CITY OF EVERETT <br /> TOTAL FEES $30.00 Permit Services <br /> PERMIT NUMBER U1709-013 <br /> ADDRESS COPY <br />