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5025 W VIEW DR 2018-06-08
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5025 W VIEW DR 2018-06-08
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Last modified
6/8/2018 2:28:13 PM
Creation date
6/8/2018 2:28:13 PM
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Address Document
Street Name
W VIEW DR
Street Number
5025
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• -CITY OF EVERETT <br /> UTILITIES <br /> ---PERMIT <br /> MITSERVICES <br /> 3200=CEDAR S`TREE ' <br /> `' EVFRETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER V1709-031 DATE.; p E 7f <br /> JOB ADDRESS 5 W <br /> 502EST VIEW DR LEGAL DESCRIPTION J fP <br /> .DESCRIPTION SIDE SEWER REPAIR • APN:. 00605`800005800 <br /> OWNER BOLL DOUGLAS&SANDRA TENANT <br /> 5025 W VIEW DR 'coNTRAcEox <br /> OV�?NER` - <br /> EVERETT WA; 98203 <br /> "PHONE <br /> PHONE <br /> WATER SEiVICE .-- _ <br /> . .SERVICE SIZE --SERVICE TYPE. FRONTAGE .' , NO.OFUNITSSERVICEORDERNO: - APPLICATIONNO. .: • <br /> SETTER INSTALLATION DATE` BY" <br /> METER NO. = SIZE' _ #,l BACKFLOW DEVICE:SERIAL NO.. <br /> R.F NO _ '1{2'BACKFLOW DEVICE SERIALNO.= r <br /> BRAND - MODEL NO( <br /> ]NETERISTALCATIONDATE' -BY - <br /> WATERON_OFF_ LOCKEDOUT BY TSG �: -J - <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO, PERMIT TYPE REPATD LID NO. .C.u. <br /> { lA 'LTd <br /> REIIIARKS: Please Note:The City is responsible for structural defects in the-side sewer on the'City ROW side per EMC-14:08.24 - <br /> I—+ <br /> -4c.a <br /> INSPECTED BY. - DATE " <br /> i <br /> F FEES <br /> SEWER UTILITY FEE $10:00 - <br /> TOTAL FEES '$30.00- • - <br /> PERMIT NUMBER U1709 031 <br /> ADDRESS COPY <br />
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