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UTILITIES CITY OF EVERETT <br /> G�'✓� PERMIT SERVICES <br /> � PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1711-026 oATF: ; i ';� ��� <br /> JOB ADDRESS 3'JO9 FEDERAL AVE SE LEGAL DESCRIP'CION '��� ' <br /> DEscaiPrioN SIDE SEWER REPAIR Ai>N: 00605000300400 <br /> °w"1'R JpHNSON TRAVIS TFNAN'r <br /> PO BOX 1330 coNTRncroa SERVCO WATER AND SEWER LLC <br /> KENT WA 98035 <br /> PO BOX 1754 <br /> EATONVILLE WA 98328 <br /> PI fONE <br /> �'��ONF- 5097504468 <br /> WATER SERVICE <br /> SF.RVICE SV".F SI'.RVICE'I'YPE I FRO�"iAGE NO.OF l'NITS SEHVICE ORDER NO. .4PPLICATIOti NO. <br /> I �.�Q <br /> I <br /> SETTER 1\'STALLATIO\'DA'1'L; gy <br /> NET[R\O. _SIZE _ AI BACKFLOW DEVICF.SERIAL NO. <br /> R.F.\'O. _ - I d2 AqCKFLOW DEVICE SERIAL ti0. _ <br /> BRA\D MODtL NO. <br /> \fETER ISTAI,LATIOti DA'i[ By <br /> W'ATER O\_ OF�_ LUCF:ED OUT BY ._ rSV ., _ . � - <br /> REMARKS: . '� - <br /> SEWER SERVICE <br /> PER�AIT\O. PEIL+AITTVPI�: REPAIR LII)\'O. . . <br /> REVIARICS: Please\ote:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> 7VSPECTEDBY' I DATE: �" � <br /> FEES <br /> SEWER UTILITY FEC $30.00 <br /> 1'O't'AL FEES $30.00 <br /> PERMIT IYUMBER U1711-026 <br /> ADllRESS C:OPY <br />