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UTILITIES CITY OF EVERETT <br /> Av.:1-1 PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810� <br /> PERMIT NUMBER U1612-011 DATE: (2._(( f r/`, <br /> JOB ADDRESS 5017 CLARMONT WAY LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER ALTERATION APN: <br /> OWNER MEDINA ED TENANT <br /> 5017 CLARMONT WAY CONTRACTOR HOLMSTADS PLUMBING INC <br /> EVERETT WA 98203 <br /> PO BOX 5635 <br /> EVERETT WA 98206 <br /> PHONE 4253305248 <br /> PHONE 4252599131 <br /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> RE.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND - MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSGrn 2:2 <br /> REMARKS: ,,.,...{ <br /> I <br /> i n rT1 :.s: <br /> T, , f,'7 I'7'•1 <br /> r' <br /> rC._a <br /> SEWER SERVICE "a r'"'' I <br /> �-a <br /> l I <br /> PERMIT NO. <br /> SP-17044 PERMIT TYPE ALTERATION LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side;pgr:;EMC 14.08.260.• <br /> 1.._1 a J-•• _,a,tit <br /> C.-..1a 11_4J i—• "a J i- '# <br /> c=� c�r�.�__�r�..�c� <br /> '.:.�4 Coe <br /> Co �-7 h^� ,=rl---�K oI <br /> C.--.3<...-..?C.--.3 r._a <br /> INSPECTED BY: I DATE: - <br /> IFEES <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> 1 PERMIT NUMBER U1612-011 I <br /> ADDRESS COPY <br />