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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> J , <br /> PERMIT <br /> 3200CEDAR STIZ.RET <br /> EVERETT . 98201 <br /> (425,'--,:,',..''',',',Q: $10; <br /> Q <br /> PERMIT NUMBER. U1805-005 DATE 9 MAY <br /> JOB ADDRESS 8903.4TH PL SE _ LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR, APN: 00402600002800 <br /> OWNER ROONEY RICHARD TENANT <br /> 8903 4TH PL SE' CONTRACTOR MRROOTER <br /> EVERETT WA' 98208 2000 S 116TH ST <br /> r SEATTLE WA. 98168 <br /> PHONE <br /> PHONE 2066512917 <br /> WATER SERVICE <br /> SERVICE SIZE ` SERVICE TYPE. FRONTAGE " NO.OF UNITS SERVICBOEDERNO.:<� APPLICATION NQ <br /> 0.00 " <br /> SETTER IN$TALLATIONDATE BY <br /> t r � <br /> ;METERNO. " - SIZE" ;HI BACKFLOW,DEVICE'SERIALNO <br /> RF.NI) j.#2 BACKFLOW DEVICE SERIAL NO - <br /> BRAND - MODEL NO <br /> ,METER ISTALLATION DATE BY <br /> WATER ON_.``. OFF_-LOCKED OUTBY TSG <br /> REMARKS:' .. <br /> ' SEWERSERVICE <br /> PERMIT NO. SP-17681 PERMIT TYPE REPAIR I <br /> ItEMARi{S: Please Note:The City is responsible:for structural defects in the-side sewer on the City ROW side per EMC 14:08,,.260 <br /> SIDE SEWER REPAIR <br /> ]NSPECIE'UB3'; _ �DpgAry�TE.. <br /> SEWER UTILITY FEE $30:00 �Q ; <br /> CITY <br /> services ETT <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1.805-005 <br /> ADDRESS'COPY <br />