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UTILITIESCITY OF EVERETT-' I- ----:,
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<br /> PERMIT SERVICES
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<br /> , /„ERmiir , , , _ , . ..
<br /> - . - . , - 3200 CEDAR STREET
<br />;_ , ''s,,,,,,,,.:,!-:,,,,,,,::-,,,,,,v•,:i.f:-.,,;:,,,:,,,,-_,17-4.'7,,:,;=:--j,t.-1-ii-7, EVERETT WA 98201
<br /> piRmITNUIVI_BER , U1806-031 - DATE. i
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<br /> JOB ADDRESS ' • 1411 36TH ST , - iLEGALDESCRIPTION SIDE SEWER REPAIR
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<br /> OWNER PADILLA JOHN T TENANT
<br /> 1411 36TH-ST - CONTRACTOR , AA numBmIG,L, C
<br /> EVERETT . .WA 98201 4703 ; '8611 vIsTAitAmAAv
<br /> EVERETT98208
<br /> PHONE
<br /> , . PHONE 4254890123
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<br /> WATER
<br /> SERVICE
<br /> FRONTAGE
<br /> SERVICE SIZE SERVICE TYPE
<br /> APPLICASION NO
<br /> SETFERINSTALLATIONDATE BY
<br /> METERNO SIZE #1 BACKFLOW DEVICE SERIAL NO
<br /> BRAND MODEL NO
<br /> METERISTALLATION DATE BY
<br /> WATER ON OFF - LOCKED OUT BY TSG
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<br /> SEWER SERVICE
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<br /> REMARKS: 1,-(ek_,....-Nott:The City is responsible for structural defecis:initlie side sewer on the City ROW side per EMC 14.08.260,
<br /> SIDE SEWER REPAIR
<br /> FEES
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<br /> SEWER UTILITY FEE , $3000
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<br /> - ' - " JO - 1 201
<br /> TO POS ING
<br /> CITY OF EVERETT
<br /> . .. , . Permit ServicesTOTAL FEES $3000
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<br /> - , PERMIT NUMBER - - , U1806-031
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<br /> ADDRESS COPY ' • ' "
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