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2322 W MUKILTEO BLVD 2018-12-21
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2322 W MUKILTEO BLVD 2018-12-21
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Last modified
12/21/2018 9:37:58 AM
Creation date
12/21/2018 9:37:57 AM
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Address Document
Street Name
W MUKILTEO BLVD
Street Number
2322
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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDt�R STREET <br /> EVERETT;=WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1805-032 DATE <br /> JOB ADDRESS 2322 MUKILTEO BLVD LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00417000300302 <br /> OWNER LORENTZ.HOWARD K&FRANCES TENANT" <br /> 2322 MUKILTEO BLVD CONTRACTOR NW SEWER&DRAIN <br /> EVERETT WA 98203 - <br /> PO BOX 55573 <br /> SEATTLE WA 98155 <br /> PHONE <br /> PHONE 2069317728 <br /> WATER SERVICE,. <br /> SERVICE SIZE SERVICE TYPEFRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 0.00 <br /> SETTER INSTAILATIONDATE BY;_ <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO - <br /> `RF.NO. R2 BACKFLOW DEVICESERIAL NO. ' <br /> BRAND ~MODEL NO. <br /> METER ISTgLI.ATION DATE) ABY <br /> WATER ON_ OFF LOCKED OUT - HY Y"ft '�'-- 1 <br /> TSG • ;.ate. <br /> REMARKS . <br /> I SEWER SERVICE rI.f-I <br /> PERMIT NO. .SP-17700 PERMIT TYPE ' p EPAIRI <br /> , <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14 0ti, 1 <br /> � e,7 <br /> 1—L. <br /> c---'0.‘.-c4 .mo o"-I <br /> c- s—•r•.� <br /> INSPECTED BY. I <br /> DATE l--� <br /> I' FEES . . <br /> SEWER U1iLITYEEE $30.00 <br /> TOTAL FEES $30.00 <br /> IPERMIT-NUMBER' U1805 032 . . <br /> ADDRESS COPY <br />
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