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!fILITIES <br /> OF EVERETT. <br /> PERMIT SERVICES <br /> PERMIT . <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> {425)257 8810 <br /> PERMIT NUMBER U1805 040 DATE <br /> JOB ADDRESS 2123 LAKE HEIGHTS DR LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER CAP OFF AT TIMEOF DEMO APNc 00611400000700, <br /> OWNER BETHANY.OF THE NORTHWEST TENANT BETHANY OF THE NORTHWEST <br /> 3322 BROADWAY CONTRACTOR NORTHWEST NEW CONST/EXVTNG INC <br /> EVERETT WA 98201 PO BOX 1214 <br /> CAMANO ISLAND WA 98292 <br /> PHONE <br /> PHONE 4253187705 <br /> WATER.SERVICE <br /> SERVICE SIZE SERVICE TYPE. FRONTAGE NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> , <br /> 0.00 <br /> SETTER INSTALLATION DATE - 'BY - <br /> METER NO - SIZE #1 BACKFLOW DEVICE SERIAL NO - - <br /> RF NO.. #2BACKFLOW DEVICESERIAL NO. - - <br />_ <br /> METER ISTALLATION DATE '�BY- - - - <br /> `WATER ON_ OFF_ LOCKED OUT %BY TSG -i a <br /> REMARKS = `"�•i <br /> SEWER SERVICE c' !, <br /> Lam, <br /> PERMIT NO. - - - PERMIT TYPE-. CAP OFF ipi—c'qq- -LID NO. <br /> REMARKS _Please Note The City it responsible for structural defects in the side sewer on the C %sl per ',--i3- -,---.,;'E.,', <br /> 1 ,0$ 60 ':-r.-.. -..� <br /> SIRE SEWER CAP-OFF rL `�'n c=r ~w • rrs'�.T'.a ' <br /> Y a n r)., � �., <br /> ra i ;C " <br /> INSPECTED BY - -DATE '-'" j <br /> IFEES <br /> SEWER UTILITY FEE $10.00 <br /> TO POSTING--.._g <br /> TOTAL FEES' $10.00 <br /> P.ERMTT NUMBER U1805 040 <br /> ADDRESS COPY <br />