|
s " ;� VTI ITI S CITY OF EVERETT ,
<br /> � EIrTERIC
<br /> �� PERM°IT f
<br /> 3 3200 CEDAR STR-
<br /> EURETT WA 98201
<br /> (425J 257 8810
<br /> PERMIT NUMBER U190I (J22 DATE J } -:' 8 a
<br /> JOB ADDRESS 2006;E GRAND AVE LEGALDESCIZII'`TION
<br /> DESCRIPTION " SIDE'SEWERREPAIR APN: 00563240701900,
<br /> OWNER AICHELE DOUGLAS:D TENA T
<br /> 4834 W GLENHAVEN DR CONTRACTOR WATERWAYS PLUMBING/DRN CLN LLP
<br /> EVERETT WA 9820 PO,BO�12-
<br /> MOUNTL'ATE TERR WA 98043
<br /> p}{o 2,062513684
<br /> PHONE 54221365
<br /> r _'r 42,.
<br /> rk
<br /> ice" _
<br /> *&IJ R S}3WVICE
<br /> � I
<br /> SERVICE SIZE SERVICE TYPE. PRONTAGE =- --'AO OP UNITS SERVICE ORDER NO _
<br /> - APPLICATIONNO
<br /> SEI IRRSNSTALLATIONDATE - B_Y. - -
<br /> SIETERNO.- SIZE - _ #I BACKFLOW DEVICE;SER1ALNO -
<br /> -RF NO. - _ #2 BACKFLOWDEVICESERIAtNO__;
<br /> BRAND
<br /> ''MODEL NQ
<br /> t
<br /> METERISTAILATIONDATE •DY
<br /> I'-I
<br /> WATER ON_ OFF_:LOCKED OUT �Y _ TSG .';p--- ,,,3' �
<br /> d REMARKS
<br /> I
<br /> "7 47
<br /> SE' ItS�R .
<br /> I _
<br /> y PERR4ITNO - _SP 179,.26 • - PERivIITTYPE REPAIR -
<br /> REMARKS Please Note The City is responsible for structural defects in the side sewer on th':-T " _ROW_ side liar EMC 14 0 41f ,
<br /> SIDE SEWER REPAIR =' ;
<br /> INSPECTED BY -
<br /> - - ,. _,."`. w _a-= _ .� _,.DATE/.�.- 4_ > ".! r
<br /> _ FESS - ■■`■d
<br /> SEWER UTILITY FEE $30:00
<br /> !T.,.---,'.....'',::..L:;.. ;:l.':-..;.:'.1.'..',::.-.i'..,•:.: ._;,..:.-,,:- ...•, -..:_:=-_,...,:-..±:"..::::,:r.:::il
<br /> k:
<br /> ::.:170„...!..7.. ASTING f�
<br /> TO ..i.:..-,,,: ::..-_-,-:__-:,_,-,.:-- . -... ,..-._. ...:----.,..,:t ...,..:....::::::; ,:-...:-.:--.7---,::-7..;.„.7,----i-.--., ,::::,...;:;..-..,?:::: ::::ii,
<br /> TA1.FEES`
<br /> IPER1kIITNUMBER U1901022
<br /> ,. ,.,_...„.•.2 _.,..„
<br /> ADDRESS COPY
<br />
|