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5630 BEVERLY LN 2018-07-24
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5630 BEVERLY LN 2018-07-24
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Last modified
7/24/2018 11:16:24 AM
Creation date
7/24/2018 11:16:24 AM
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Address Document
Street Name
BEVERLY LN
Street Number
5630
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UTILITIES CITY OF E.ERETT <br /> PERMIT SERVICES <br /> -7,-) ' PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> • PERMIT NUMBER U1804-051; DATE. <br /> 0. APR 4 <br />= : JOB ADDRESS "563-0 BEV1sRLyLN LEGAI,DESCRIPTION ' - <br /> DESCRIPTION SIDE SEWER REPAIR APN. 00471800000600 • <br /> OWNER ODONNELL DANIEL&ANNTENANT KRIS. <br /> 5630 BEVERLY LN CONTRACTOR " <br /> EVERETT WA 98203 ROTO ROOTER SERVICES CO <br /> 10655 INTERNATIONAL BLV D <br /> PHONE <br /> TUKWILA" WA 98168 <br /> PHONE 4257732257 <br /> . WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE •FRONTAGE NO OF UNITS SERVICE ORDER NQ APPLICATION NO <br /> SETTER INSTALLATION DATE Ey <br /> -METERIO: - SIZE'` #1 BACKFLOW„DEVICE SERIAL NO '�;.. <br /> _ #2 BACKFLOW DEVICESERIALNO.:� <br /> BRAND - MODELNO. <br /> METER ISTALLATION DATE 'gy” <br /> WATER ON OFF LOCKED OUT BY <br /> TSG1— n c <br /> .4 <br /> REMARKS: Y `.•:,..,.I <br /> 'TI <br /> SEWER SERVICE r?;, <br /> PERMIT NO. ._ SP-17675 PERMIT TYPE _I,LID NO. IA. -CL.- <br /> REPAIR � �1 I <br /> REMARKS: 'Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08-�4D .r.,. <br /> 073 <br /> INSPECTED BY -DATE a""L J <br /> IFEES I <br /> SEWER UTILITY FEE $30.00 . <br /> TOPOSTING 7/i / <br /> TOTAL FEES $30.00 <br /> I-PERMIT NUMBER U1804-051 _ <br /> ADDRESS COPY <br />
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