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UTILITIES CITY OF EVERETT <br /> #111,-A PERMIT SERVICES <br /> „wall. PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1801-007 DATE: j 1 JA ....%! tel <br /> JOB ADDRESS 5904 HIGHWAY PL LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00393200201700 <br /> OWNER GLACIER VIEW APARTMENTS LLC TENANT <br /> 95 SOUT TOBIN ST STE 201 CONTRACTOR SEATTLE SELECT LLC <br /> RENTON WA 98057 <br /> PO BOX 285 <br /> REDMOND WA 98073 <br /> PHONE <br /> . PHONE 4255314847 <br /> WATER 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 /> 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 /> I SEWER SERVICE <br /> PERMIT NO. SP-17566 PERMIT TYPE REPAIR I 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 /> A <br /> INSPECTED BY: Da�- P7 E <br /> FEES ii • • I <br /> JAN 1 1 7:31'' i J 1/. <br /> SEWER UTILITY FEE $30.0() .f _, <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1801-007 <br /> ADDRESS COPY <br />