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( LY OF EVERETT <br /> 4, <br /> /NIP <br /> IIELS <br />- . - „,/,-- z----' - . PERMIT_ SERVICES <br /> - PERMIT <br /> - 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257,8810 <br /> PERMIT`NUMB,EI•3 • ',tJl6O3•016„ DATE; 03108/20=16 <br /> JOB Apt.UsS ,5039 QC AN AVE% LEGAL DESCRIPTION C 34 [WI?29`RCt) 04 <br /> DESCRIPTION SEWER CAP O.FF.FOR DEMO APS 29043400401400 <br /> OWNER' Ol_ ISM FAN&.KRISTEN ,=.° TENANT <br /> 30Q5 51:ST PL SW CONTRACTOR :QWNER• <br /> EVRRETT` WA 98203 <br /> • <br /> PHONE <br /> PHONE <br /> lWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE: FRONTAGE. NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> I <br /> 4 <br /> : ( 1.00 <br /> SETTER INSTALLATION DATE BY•- " <br /> METER NO SIZE #1 BACKFLOW DEVICE;SERIAL NO - - <br /> R.F NO _ - I .q2 BACKFLOW DEVICE SERIAL NO <br /> BRAND - MODEL NO <br /> METER ISTALLATION DATE:- PY - <br /> WATER ON_;OFF_ LOCKED OUT BY - TSG rn _- '�1 al <br /> REMARKS - -•-4 <br /> C!7 <br /> I <br /> .S,E)?VER'SERVICE _ ci't I'' <br /> PERMIT NO _ iSP1 6561 PERMIT TYPB - C A OFF LID NO, _ :�. <br /> 1 V <br /> REMARKSt Please Note The City is`responsible for structural defects in the side-sewer on the City ROW side per"EM 4 1.0> 260 I--1 <br /> INSPECTED BY' DATE <br /> FEES <br /> Sewer Utility.Fee $10.00 : <br /> TOTAL FEES $10.00 <br /> PERMIT NUMBER 111603-016 <br /> ADDRESS COPY <br />