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ti 1ILITIES �~y OF EVERETT <br /> PERMIT SERVICES <br /> Ev� ' �r PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U 1704-009 �ATE: � <br /> JOB ADDRESS 3220 BROADWAY LEGAL DESCRIPTION <br /> DEscxiPTioN CAP SEWER FOR DEMOLITION OF VACANT 4-PLEX APN 00439076302200 <br /> OWNER COHOE POINT LLC TENANT <br /> 110 I IOTH AVE NE STE 550 CONTRACTOR WRECKING BALL DEMOLITION <br /> BELLEVUE WA 98004 3310 CHESTNUT <br /> EVERETT WA 98201 <br /> PHON� 4257097256 <br /> ''"°NE 4253393111 <br /> WATER SERVICE <br /> SERVIC[SIT..E I SERVICETYPE FRONTAGE NO.OFUNITS SERVICEORDERNO. APPLICATIONM1O. <br /> I �.QQ <br /> I <br /> I <br /> SETTERINSTALLATION DATE gy <br /> METER NO. SIZE kl BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. _ _ ( M2 BACKFLOW DEVICE SERIAL NO. <br /> BR� MODEL NO. <br /> METERISTALLATION DATE gY <br /> __ _ : ..n...J':_: <br /> WATER ON_ OFF_ LOCKF.D OUT _ BY_ TSG �"��� '"'''I <br /> , ' i <br /> REMARKS: � __{ �_J') ... � ; � <br /> i..J f" �.y-7 `- <br /> ���h :1=::= i'�� <br /> ' _.:] <br /> SEWER SERV[CE `"'-' ' <br /> _ <br /> �Ea,�,T�o. SP-17183 PER�M1ITTYPE CAP OFF LIDNO '�`i;' <br /> i.n�.: ' <br /> REMARKS: Please Note:'The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.��0'� .:;,,,. :_. <br /> :� i..._.. <br /> CAP-OFF SEWER --�;0-,a n.'} <br /> �-. '��} _. � <br /> _... _. ,„ <br /> , , �;��� <br /> ;—,;_..��_...:. <br /> ,i--- ..._, <br /> 'f j� <br /> ��.� <br /> INSPECTEUBY: I ,-_u, � <br /> DATE: <br /> FEES <br /> SEWER UTILITY FEG $10.00 <br /> TO'I'AL FEES $10.00 <br /> PERM[T NUMBER U1704-009 <br /> ADDRESSCOPY <br />