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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (4A5)2N/19.0 <br /> PERMIT NUMBER U1803-012 DATE: 0 If <br /> JOB ADDRESS 2325 VIRGINIA AVE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00401649801300 <br /> OWNER NEISER TIM TENANT <br /> 2325 VIRGINIA AVE CONTRACTOR PRICOR TECHNOLOGIES LLC <br /> EVERETT WA <br /> 2825 S 154TH ST <br /> SEATTLE WA 98188 <br /> PHONE <br /> PHONE 2062420633 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OI'[NITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SE I I ER INSTALLATION DATE BY <br /> METER NO. SIZE _ SI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. _ <br /> BRAND -_ _ MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. <br /> SP-17617 PERMIT TYPE REPAIR LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: I DATE: <br /> FEES <br /> SEWER UTILITY FEE $30.00 <br /> MAR 0 6 <br /> 2038 J ,) <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER U1803-012 <br /> ADDRESS COPY <br />