Laserfiche WebLink
_ _ _ _. _ _ __ _._ ..._... _ . _ _ _ __ _. <br /> ' �ILITIES <br /> �1�TY OF EVERETT <br /> , <br /> ; , . _ <br /> : _ . <br /> , <br /> � PERMIT`SERVICES <br /> � PERMIT . : <br /> �.`�� � • � � �� 3200 CEDAR STREET � � �� <br /> ',EVERET"I;WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER ':U1709-019 DATE: �. 09/15/2017 <br /> aos:anDxEss 10711 EUERGREEN WAY LEGEu,Dsscx�zor� : <br /> pEscRrnriorr SIDE SEWER ALTERATION ��?�. : 28U.42400203600' <br /> ���owrr�R�� 4H�;HOLD�t�S Ir�;LC � �� � � � � � i�rra;rt� � � <br /> � 580� 88T�T�ST SW�� � � � �o�tTxn�cToz� . � GO:I;�N�ARK��TTFRPRTSES ING <br /> � � � MUKIL'�EQ �� V�A: 98275 �� P1V��7,62;1 SR 9�NE �� <br /> . , " • _ <br /> �AKE STEVENS WA 9825.8 <br /> PHONE <br /> �� � � �� Pxor� `. �� 425334144;2� <br />. WATER SERVICE <br />� SERVICESIZE� � SERVICETYPE � FRONTAGE� .. �NO.OFUNITSi. �.�SERVICEORDERNO.�.� � APPLICATfONNO. � <br /> � � . .. � ��� . � Q.�� �.. I � ..�.�� . �. , <br /> �SETTERINSTAI:LATIONDATE � .. ( . BY �.�.. . . � � � ��. .. . ..� � . �.. <br />. . METER NO. � . . 'SIZE . � . � � A1 BACKFLOW DEVICE�.SERUIL NO ��. � � . . � . <br /> RF.NO. �. . . .. ... . . . � .�#2 BACKFLOW DEVICE SERIAL NO. ' � � �. � � . �. <br />.. BRAND - . �� . . .�. . . . . _. �_ � MODEL NO;�� ' .,,_ , . , . . , . .�, <br /> �I61E'CER ISTALLATTON DATE�. .� BY. � � �� � <br /> WATERON_ OFF_.�.IACKEDOLIT ` BY . . .. � . TSC7 p,,,.,, � �� � <br /> REI�fARKS: .. —^-�i <br /> � . � ���� .x... . . <br /> . . �� ��p .� Q� . <br /> , <br /> 6�� �, <br /> . .: . .�a . � . . , � <br /> � a,, <br /> .. . .�.. . , ,_ ... . , �.�. . . <br /> �ti <br /> , . �_ ..�.. ..... . . , _ , .. .� . <br /> . . . .. � ., . �.. <br /> ��. <br /> SEWER SERVIGE �'d"' ��� <br /> c� .t <br /> cy <br /> r�nrxo. SP-17466 rEiuw�rrves ALTERATION imxo �p � <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14:08�2�� � <br /> ��.a° c..•i <br /> � �c���a r� <br /> I �'��ti'y�'—, c,;;' <br /> , '. ��,x; <br /> � . � ... . . . � � . � DATE: � . � .. . I—+ <br />� INSPECTED.BY: . . . � � . <br /> _ . FEES ' _ <br /> SEWER UTILITY FEE $30:00 <br /> � � 'rOTAL FEE� ,�, � ��$30.04��� � � � <br /> � � � � � ��PERIVIIT NiJla!IBER i� ��U1709-019� � <br /> ADDRESSCOPY <br />