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3204 52ND PL SW 2018-02-12
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3204 52ND PL SW 2018-02-12
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Last modified
2/12/2018 9:29:29 AM
Creation date
2/12/2018 9:29:28 AM
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Address Document
Street Name
52ND PL SW
Street Number
3204
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PlILITIES •TY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1711-007 DATE: Q 6 N O V 2011 <br /> JOB ADDRESS 3204 52ND PL LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00396700301800 <br /> OWNER SAMPSON PHYLLIS TENANT <br /> 3204 52ND PL SW <br /> CONTRACTOR ROTO ROOTER SERVICES CO <br /> EVERETT WA 98203 <br /> 10655 INTERNATIONAL BLVD <br /> PHONE TUKWILA WA 98168 <br /> PHONE 4257732257 <br /> WATER SERVICE <br /> SERVICE SIZI. SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. <br /> - - #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> - - MODEL NO <br /> METER ISTALI.ATION DATE BY <br /> WATER ON OFF LOCKED OUT BY <br /> TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-17519I LIDNO. <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 14.08.260 <br /> INSPECTED BY: I DATE. (F.4,;,, <br /> 2 N Iw:.: - ;•, - <br /> FEES <br /> NOY G ,pct% <br /> SEWER UTILITY FEE <br /> $30.00 <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER U1711-007 <br /> ADDRESS COPY <br />
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