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� �' UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> t� �� PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1708-01 l DATE: �' <br /> JOB ADDRESS 3Q](OTH ST SE LEGAL DESCRIPTION <br /> �EscRiPT�oN SIDE SEWER REPAIR Aj'N 00471700003404 <br /> °wr�ER HERSHBERGER ANITA J&CHRISTIAN H TFNANT <br /> 307 60"TH ST SE coNrRncTox ROTO ROOTER SERV[CES CO <br /> EVERETT WA 98203-3542 10655 [NTERNATIONAL BLVD <br /> TUKWILA WA 98168 <br /> PHONE <br /> �HON� 4257732257 <br /> WATER SERVICE <br /> SERVICESIZE I S[RVICETYPF I FRO�TAGt I NO.OFUO.00 SERVICEORDERNO. APPLICATIONNO. <br /> I I <br /> SETTER ItvSTALLAT(Oti DATF BY <br /> METERNO. SIZH #1BACKFLOW DEVICE SERIALNO. <br /> R.F.NO. k2 HACKFLOW DEVICE SERIAL NO. <br /> RRAVD MODEL NO. <br /> METER iSTALLATION DATE BY <br /> WATER OV OFF LOCKED OI,T_ __ BY _ TSG <br /> RE.NAAKS <br /> SEWER SERVICE <br /> I'ERA1ITh'O. SP—1/4O4 PERMITTYPE REPAIR LID:JO. <br /> REMARKS: Please M1ote:The City is responsible for structural defects in thc side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY�. I DATti: �c_y <br /> \J <br /> FEES � <br /> � <br /> �- <br /> SEWER UTILITY FEE $30.00 �'��� � '' I,,,/j <br /> �'J �� �„_.�,. <br /> �ra�it Ser�,E��;�'� <br /> TO"TAL FEES $30.U0 <br /> PERMIT ]�1UMBER U1708-011 <br /> ADDRESSCOYY <br />