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I:, <br /> UTILITIES CITY OF EVERETT <br /> ,,, PERMIT SERVICES <br /> PERMIT <br /> 32Q0 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1802-011 DATE: 0l7/)(6 <br /> .JOB ADDRESS 5621 ROCKEFELLER AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00495800800800 <br /> OWNER KEPFORD PAMELA J TENANT <br /> 5129 EVERGREEN WAY PMB 4D-153 CONTRACTOR SEWER DETECTIVES <br /> EVERETT WA 98203 215 15TH ST <br /> SNOHOMISH WA 98290 <br /> PHONE <br /> PHONE 4259234958 <br /> IWATER SERVICE; <br /> SERVICE SIZE- SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO .'APPLICATION NO <br /> 0.00 I <br /> SEI IEE INSTALLATION DATE - BY;r <br /> METER NO. ,SIZE ` #1 BACKFLOW DEVICE SERIAL NO.' - <br /> RF.NO. #2 BACKFLOW DEVICE SERIAL NO <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE - -BY - - - <br /> WATER ON_,OFF_.:LOCKED OUT BY _ TSG7'2 <br /> . <br /> REMARKS: <br /> I-) P-. <br /> r- C . <br /> . SEWER SERVICE r-r.. <br /> . I- <br /> PERMIT NO. - - PERMIT TYPE .LII)NO. 'Grr t7:3 I�. <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 Q4.,2 r <br /> ,'.....2 t.=a <br /> 4.&.).) C> Cs" <br /> FEES ; <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES : $30.00 <br /> IPERMIT NUMBER U1802-011 <br /> ADDRESS COPY <br />