Laserfiche WebLink
UTILITIES <br /> CITY OF EVERETT <br /> , 3' <br /> lr <br /> �S <br /> PERMIT SERVICES <br /> • <br /> r�yi 3200 CEDAR STREET <br /> EVERETT;WA 98201:- <br /> 26JAN 2i <br /> (425) 57-881,0. <br /> PERMIT NUMBER U1801-.020 DATE: <br /> JOB ADDRESS 916 PACIFIC AVE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN_ 29053000200100 <br /> OWNER PROVIDENCE HEALTH&SERVICES-WASHI] TENANT PRMC <br /> 1801 LIND AVE SW#9016 CONTRACTOR ` ROTO ROOTER SERVICES CO <br /> RENTON WA 98057 10655 INTERNATIONAL BLVD_ <br /> TUKWILA WA 98168 _ <br /> PHONE <br /> PHONE 4257732257 <br /> _ '. WATE _ <br /> R SERVICE <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 c #1 BACKFLOW DEVICE=SERIAL NO <br /> RRF.NO. #2 BACKFLOWDEVICE SERIAL NO. - <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY - - :.: <br /> WATER ON OFF LOCKED OUT BY m n'7 <br /> TSG I CEy <br /> c�a <br /> SEWER SERVICE i J..1 <br /> PERMIT NO. PERMIT TYPE I <br /> LID NO. '4'{ <br /> REPAIR ,, .• <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0§;,2 .r.F1. <br /> • INSPECTED BY:- <br /> -DATE: <br /> I <br /> ; FEES <br /> SEWER UTILITY:FEE $30.00 , <br /> TOTAL FEES $30.00 <br /> I PERMIT NUMBER U1801-020 <br /> I <br /> ADDRESS COPY <br />