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- - UTILITIES <br /> CITY OF EVERETT <br /> p <br /> ;,, % PERMsIT SERVICES, <br /> . •.E IT: .:' 3200 CEDAR-STREET <br /> ': • REIT,WA 98201 <br /> EVE <br /> (425)257=8810. <br /> PERMTTNUMBER CT1807-032 RATE_ <br /> JOB ADDRESS 4426-SEA'HURST LEGAi DEseft>PTLON <br /> DESCRIPTION =SIDE SE'WER:REP;AIR APN 005..05700000303 <br /> ORD44OW6 DELL-IURKOSBTERT M&TAWMMYL9•WNE • TcEONN`TSRA': <br /> CTO <br /> 8O61;E1 LUMBII7G LLC <br /> VISTARAMA[V <br /> E ' I1VE�T4 A 2 . <br /> EVERETTWA 98 <br /> 208 . <br /> PHONE 4254890:123 <br /> ATER SERVICE <br /> SERVICE SIZE SERVICETYPE FRONTAGE "°NO OF UNITS._ - - - SERVICE ODDER NQ APPLICATION NQ <br /> 0.00 I <br /> -:SETTER INSTALLATION DATE - BY.i- <br /> METER NO. SIZE" - -#1 BACKFLOW DEVICE SERIAL NO: - <br /> R.E NO. '._ - ._g2 BACKFLOW DEVICE SERDIL NO. - - - <br /> - -MODEL NO:-: - .... <br /> METER ISTALLATIONDATE'- - BY- �L'7 <br /> WQTER ON ` -OFF_ 'LOCKED OUT- BY .TSG "I•. '� <br /> REMARKS _ <br /> • ' ' <br /> P <br /> rI . SEINE$SERVVIC c'.n I <br /> PERMIT NO PERMIT TYPE LID NO t7„)" <br /> SP 17784 REPAIR : • rj ,I:' <br /> REMARKS: Please Note The City is responsible for structural defects;n the side sewer on the City ROW side per EMC 140 ,. <br /> INSPECTED BY: _ _ - _:DATE <br /> FEES <br /> SEWER UTILITY EEE _•- , $30:00 <br /> LOTALTEES' $30 00 <br /> PERMfT NUMBER;, U1807 032 <br /> ADDRESS'COPY - <br />