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ULITIE S <br /> C OF EVERETT <br /> .-,-,,,---,'-: <br /> 3 PERMIT SERVICES <br /> :� PERMIT <br /> 3200 CEDAR STREET <br /> '. .EVEREI"T,WA 98201 <br /> (425)257=8810 <br /> PERMIT NUMBER U1.805-049 <br /> DATE L "r z�. V <br /> JOB ADDRESS 1910 <br /> RAINIERAVE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN: 00438438502700 <br /> OWNER COWGER MABEL TENANT . <br /> 1910 RAINIER AVE CONTRACTOR NW'SEWER 8cDRAIN <br /> EVERETT, WA 98201 <br /> PO BOX 55573 <br /> SEATTLE . WA 98155 <br /> PHONE . <br /> PHONE 2069317728 <br /> WATER SERVICE <br /> - SERVICE ST7F SERVICE TYPE FRONTAGE NO.OF UNITS." SERVICE ORDER NOAPPLICATION.NO <br /> 0.0.0: I <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE -#1 BACKFLOW DEVICE SERIALNO. - <br /> R.F:NO, 1G BACKELOW DEVICE SERIALNO, - <br /> BRAND - MODEL NO:: <br /> -METER ISTALLATION DATE. <br /> WATER ON_-OFF____ LOCKED OUT BY TSG <br /> REMARKS: <br /> ' SEWER SERVICE . ( <br /> PERMIT NO. SP-17712 PERMIT TYPE REPAIR <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> I DATE Lf*,:.k 'r—'' <br /> INSPECTED BY: - ,I <br /> ��� I, t,. <br /> FEES. MA 15 r <br /> SEWERLJTILITYFDE $30;Q0 CITY OF E�1 'rl <br /> Permit Services <br /> POSTING z / <br /> TOTAL FEES $30.00 <br /> IPERMIT NUMBER 111805-049 <br /> ADDRESS COPY <br />