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UTILITIES CITY OF EVERETT <br /> ;:'„.,..''''''''' ''''''s'' '"am'-'74",t-4,,,,,,,"'--."4.--L4's",,--,„-1-.?,7r:'',1- PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETTWA 982.01 <br /> (425)257-8810 <br /> PERMIT NUMBER " U1801-009 DATE• 6 JAN aiii <br /> JOB ADDRESS 7329 BEVERLY LN LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN 00393700101602 <br /> OWNER RASMUSSEN JOHN D TENANT <br /> 7329 BEVERLY LN CONTRACTOR AA PLUMBING LLC <br /> EVERETT WA 98203-5508 <br /> 8611.VISTARAMA AVE <br /> EVERETT WA 98208 <br /> PHONE <br /> PHONE' " 4254890123 <br /> WATER SERVICE I <br /> SERVICE SIZE. SERVICE TYPE FRONTAGE- `-NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 I <br /> .SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERW,NO. <br /> R:F NO. #2 BACKFLOW DEVICE SERIAL NO <br /> BRAND MODEL NO, <br /> METER ISTALLATION DATE BY <br /> PT"f '1r"1 <br /> WATER ON_OFF_ LOCKED OUT BY TSG is L-""7 <br /> REMARKS: -' n,.m <br /> p-, 1;1.3 <br /> SEWER SERVICE I <br /> PERMIT NO. _ PERMIT TYPE ` REPAIR I LID NO. -. (( C) <br /> REMARKS: Please Note:The"City"is responsible`for structural defects in the side_ sewer on the City ROW side'per EMC 14.Q& .t0.3. <br /> r_.j >s <br /> 808 c,"." <br /> Y J <br /> INSPECTED BY: I 'DATE. N-''�""• <br /> FEES ` I` <br /> SEWER UTILITY FEE $30.00 <br /> • <br /> TO POSTING . -- anl <br /> TOTAL FEES $30.00 <br /> LPERMIT NUMBER U1801-009 <br /> ADDRESS COPY <br />