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i..: CITY O EVERETT <br /> UTILITIES <br /> 4F „ 4PERMIT SERVICES <br /> 5 PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,=WA 98201 <br /> ' .' (425)257 8810 <br /> PERMIT NUMBER U18I0-046 DATE 2 9 O°C T f U 18 <br /> JOB ADDRESS. 2207 CLEVELAND;AVE LEGAL DESCRIPTION _ <br /> DESCRIPTION Install a Clean out and CIPS Liner 00377445900300 <br /> OWNER ; SURREAL DESIGNS LLC TENANT <br /> 7316 SSTl T ST NE coN IiACTOR _, Spencer Chynoweth <br /> M 16 5571 LLE WA 98270 <br /> Shoreline <br /> BOX 55573c' <br /> PHONE ; ; <br /> Shoreline WA 98155.` <br /> PHODIE 2069315989 <br /> I1 <br /> WATER SERVICE. <br /> SERVICE SIZE _ SERVICE TYPE'S FRONTAGE -.._NO OF UNITS' SERVICE ORDERNQ�-- -APPLTCATION NO - <br /> 0.00 <br /> SETTER INSTALLATIONDAIE _'BY :` ..i. - - <br /> METER NO. <br /> 11 BAC[O:LOW DEVICE%SERD\I;NO.� - <br /> RF.NO- - SZBAQ�fAWDEVICE SERIALNO. '> - <br /> BRAND - - MODEL NO <br /> METER ISTALLATION DATE BY' <br /> WATERON'. OFF LOCRED OUT -`BY - - - TSG - - <br /> 4 �REMARKS: <br /> ISEWER SERVICE <br /> PERMIT NO - - PERMIT TYPE SIDE SEWER REPAI] I_�; LID NO. <br /> ZtEMANO : Please Note The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260," <br /> INSPECTED BY I ,.DATE <br /> I FEES ; <br /> 1? I <br /> SEWER UTILITY FEE';` $30:00 <br /> OCT Z 9 � <br /> CITY OF EVERETT <br /> TO POSTING 1- 3 /g Permit Services <br /> ONLINE <br /> `; ._ TOTAL FEES $30.00 <br /> PERMIT NUMBER U1810-046 <br /> ADDRESS'COPY <br />