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UTILITIES CITY OF EVERETT <br /> ileillir—A PERMIT SERVICES <br /> w- i'l PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1705-013 DATE: 5/1t <br /> JOB ADDRESS 2425 HARRISON AVE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00516853300400 <br /> OWNER THORNE TANYA LEE TENANT <br /> 2425 HARRISON AVE CONTRACTOR OWNER <br /> EVERETT WA 98201-3347 <br /> PI ION[. <br /> PHONE <br /> WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SEI IER INSTALLATION DATE BY <br /> METER NO. SIZE SI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 52 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY _ <br /> WATER ON OFF LOCKED OUT BY _ TSG :? n C.:7-# <br /> REMARKS: r" P.] _ <br /> rrl <br /> ^1:7 <br /> C <br /> SEWER SERVICE '=;'I L <br /> PERMIT NO. SP-17227 PERMIT TYPE REPAIR LID NO. 'R5k -:;;7 <br /> CA t, <br /> F ,,"J <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0 ,2 _w <br /> f_.I I_.1 <br /> F) ems? <br /> CZ, <br /> C':l 1:-#4I—" •J <br /> CO <br /> INSPECTED BY: I DAM F"'` <br /> L i <br /> IFEES I <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER U1705-013 I <br /> ADDRESS COPY <br />