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<br /> y CITY OF EVERETT
<br /> UTILITIES
<br /> t . ' PERMIT SERVICES
<br /> E P•ERIVIYT
<br /> 3200 CEDAR STREET,
<br /> EVEREI ,WA 98201
<br /> (4 .+Q e� 88I0 _
<br /> PERMITNUMBER U1809-013 DAT>
<br /> JOB ADDRESS 6409 W BEECH ST LEGAL DESCRIPTION
<br /> '''''''''': -"..:::1614':'4''I'''':§::
<br /> PT ON SIDE SEWERREPAIR • APN" 00612000008100
<br /> O ER B.OWLIN GYTY L TENANT
<br /> 6409 W BEEI✓H ST CONTRaCTOR
<br /> EVERETT SVA, 98203 - MRROOTER -
<br /> . -2000.S 116TH ST
<br /> SEA!ALE- WA 98168>.
<br /> PHONE
<br /> PHONE: 20665'12917
<br /> WATER SERVICE'
<br /> 2
<br /> SERVICE$IZE'r - SERVICE TYPE;.- - FRONTAGE NO.OF-UNITS SERVICE,ORDER NO- "APPLICATION NO
<br /> SETTER INSTALLATION DATE -. - - . - -
<br /> -METER NO. SIZE #1 BACEFLOW DEVICE SERIALNO. - - -
<br /> -.,#2 BACKFLOWDEVICE SERIAL NO. - -
<br /> BRAND MODEL NOi
<br /> 'METER�STALLAEOND�TE;, "_BY,
<br /> WATERON OFF LOLRED'ou "EY TSG
<br /> `.REMARRs ,
<br /> 4-. ,:---:-:-,:--;:,,,r,',..2i-i-',-;-:-..:',.„,-„,-..,,,,;ii-.,-4,zi?.. .-.:::,,,,,..-::- .--:;'::,•J :--,,:,.:-.,r.'..,,„-.,:,,,,,,,,,,.,-',7,:::,,7.::.,,,, ,-,-:.-.: -.•:ri::_-:,:;,, '---,,:.:r''7r46:'..:-'::,',.-'?'::''':;r
<br /> SEWER SERVICFs
<br /> PERMIT NO `SP 17025 PERMIT TYPE s ,LID NO
<br /> REPAIR I
<br /> REM�RJS Please Note The City is responsible for'structural defects►n the side sewer on the•"City ROW side"per.EMC 14;08 260"
<br /> INSPECTED BY -_ - ._DATE -
<br /> ',: ::- r.-,-'2::,..":",-.-.:-:'::-- ---' ''r.-4-:-:',--;-:-r.,:,'-r:,,-,„'
<br /> x I s FEES
<br /> SEWER UTILITY EEE $3,0:00
<br /> " po, : G- " - :: '':: :' -r@: ar0: - ::::'''':'-' -: - .
<br /> TOTAL FEES $30 00 -:-.:'SEP:::-'12018
<br /> IPERMIT; v • 013
<br /> ADDRESS COPY
<br />
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