Laserfiche WebLink
x Y OF E„, ERETT <br /> ILiITI S <br /> - ' wi P�YtMIT SRVTCES <br /> ' ` x `' £ y I� 3200 CEDAR ST12EE P <br /> EVERETF VA 98201 "` <br /> --r:1:':',...'--.]::;11:42:-5T25.74$1.( -i;:: :::!::::- <br /> PERMIT NUMBER 1J1,704033 DATE" 04/27/2(87 <br /> JOB ADDRESS 1912 PACIFIC AVS; LEGAL DESC IPTION <br /> DESCRIPTION SEWER CAP`OFF FOR BLDG DEMO = APN <br /> 00439074002500;.:._ <br /> 18, 05 17TH AVE:NW 8 <br /> CONANLLENTRTOWNER PACIFIC AVESENIORHOUSNGC A <br /> CTOR.. JIMENEZ GENRA <br /> LCONTRACTING <br /> 202I2THPL SW6RELINE WA 9177 9A98036SHOLYNNWOOD •W <br /> PHONE -T <br /> PHONE: 20671,42295 <br /> IWATER SERVICE: ,.. _ s <br /> SERVICESIZE --- '.SERVICE TYPE_- FRONTAGE NO OF UNITS SERVICE ORDER NO `-APPLICATIONNO. <br /> r <br /> ' I00 t <br /> SEl IEE INSTAIAATION DATE BY - - - - <br /> INETERNO r- SIZE ,- - 5k1BACKFLOW DEVICE SERIAL NO - -- <br /> RF NO - 'S2BACKFLOWDEVICESERIALNO <br /> METERISTALLATION DATE ABY - � _ <br /> P <br /> ERMARIIS _ <br /> r <br /> SE R StRVICEI <br /> PERMITNO '-'—'"" "2°3.'H'2...--;::.-:'::'----- ..'-'--- <br /> PERMIT TYP$ LIDNO <br /> SP 17203 I <br /> REMARKS: Please Note The City is responsible for structural defects m the-side sewer on the C••ty ROW side per EMC 14 0`8.260 : <br /> p <br /> INSPECTEDBY - <br /> ti FE .S _ <br /> � 1''L` tb� 3 3 l 3s�* b'� 3 <br /> cf <br /> SEWER UTILITY_ FEE - $10'00 <br /> APR J <br /> L M TO P0STI 'G LW 2 7 2017 <br /> l <br /> - • CITY QF EVERETT <br /> TOTAL FEES $10 00 Permit Services <br /> PERMIT NUMBER U170d 033 <br /> ADDRESS COPY <br />