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Or -Y OF "EVERETT <br /> ILITIES <br /> PERMIT SERVICES <br /> 1 <br /> PERMIT <br /> 3200 CEDAR STREET, <br /> A °'EVERETT 'WA98201 <br /> (425);257 8810, <br /> PERMIT NUMBER U1805 041DgTF 1 - MAY <br /> JOB ADDRESS 2125 LAKE HEIGHTS DR LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER CAP OFF AT TIME;OF.DEMO APN. ; 006114000.00600' <br /> OWNER BETHANY OF THE NORTHWEST TENANT BETHANY OF THE NORTHWEST <br /> 916 PACIFIC AVE CONTRACTOR <br /> EVERETT WA 98201-4147 NORTHWEST NEW CONST/EXVTNG INC <br /> 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 NQ <br /> -_-,I <br /> - 0.00 <br /> SE11ERINSTALLATIONDATE ,-BY <br /> "METER NO. - SIZE", #1 BACKFLOW DEVICE SERIAL NO. - <br /> _ -.: #2 BACKFLOW DEVICE SERiALNO. <br /> BRAND - MODEL ISO. - <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSG <br /> 1...._, fl <br /> REMARKS: <br /> SEWER SERVICE 9•x + I <br /> L-r.:x <br /> PERMIT NO. ty,•I <br /> y <br /> PERTJITI"YPE ' CAP OFF'. ° �� •;,,.;..,,.. <br /> REMARKS: Please Note:The City is responsible for strtictural defects in the side sewer on the Citic E OW s!9. per X1;4 9 60 <br /> SIDE SEWER CAP OFF I••.:a 6 F-� L.1 -17,-- F--`Ca r •t r <br /> -i C.:J LT3 <br /> C77: <br /> INSPECTED BY: I •� <br /> DATE - I----' <br /> FEES <br /> SEWER UTILITY FEE $10.00 <br /> TOTAL FEES $10.00 <br /> IPERMIT NUMBER U1805-041 I <br /> T `' - t 8 ADDRESS COPY <br />