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5630 BEVERLY LN 2018-12-20
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5630 BEVERLY LN 2018-12-20
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Last modified
12/20/2018 2:07:57 PM
Creation date
12/20/2018 2:07:56 PM
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Address Document
Street Name
BEVERLY LN
Street Number
5630
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UTILITIES CITY OF EVERETT <br /> '-.4.,,..-_..--,,,-4,‘;.-•.','-E PERMIT SERVICES <br /> f PERMIT . <br /> h � ' <br /> `` : - � , :. 3200 CEDAR STREET <br /> EVERETT WA 98201' <br /> (425)257=8810 <br /> PERMIT:NUMBER U18064)30 - DATE 6/18/2018 <br /> JOB ADDRESS 5630 BEVERLY LN LEGAL DESCRIPTION •, <br /> DESCRIPTION SIDE SEWER:REPAIR APN. , 00471800000600 <br /> OWNER ODONNELL DANIEL&ANN TENANT <br /> 5630 BEVERLY LN CONTRACTOR . ROTO ROOTER SERVICES CO <br /> EVERETT WA 98203 10655 INTERNATIONAL BLVD <br /> TUKWILA WA 98168 <br /> PHONE <br /> PHONE 4257732257 <br /> ' WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE. FRONTAGE ::. NO OF UNITS SERVICE ORDER NO`S APPLICATION NQ <br /> 0.:00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE�SERIALNO. - <br /> RF.NO. I - #2BACKFLOWDEVICESERIALNO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY - <br /> rn- <br /> WATER ON_ OFF_:LOCKED OUT BY - TSG -�` i.�.. <br /> REMARKS. -'{ <br /> LiISEWER SERVICE I I.,,., <br /> PERMIT NO. PERMIT TYPE REPAIR LID NO.' 4f: � I <br /> SP-17744 �.f <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.044 .,$I, <br /> 808 cam:: <br /> INSPECTED$Y: _ ;DATE I <br /> FEES ry <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1806-030 <br /> ADDRESS COPY <br />
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