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UTILITIES CITY OF EVERETT <br /> P <br /> tERMIT` SERVICES <br /> PERMIT - <br /> 3VE CEDAR STREET <br /> EVEREU WA 98201 <br /> (42_5)25©7=8810 <br /> PERMIT NUMBER 111812 020 DATE '� E C 201'8 fr" <br /> OB ADDRESS 3924 FEDERAL,AVE E T EGAL DESCRIPTION <br /> ,DESCRIPTION SIDE SEWER REPAIR APN. 29053000303800 <br /> OWNER TURNERDAVID T&CYNTHIA TENarT <br /> 3924 FEDERAL AVE CONTRACTOR <br />' ` EVERETT WA 98201 7AEC0 COMPANY <br /> Till'N 98TH ST,STE 4 <br /> SEATTLE WA 98103. <br /> PHONE <br /> PHONE 20655235.60 <br /> WATER SERVICE' <br /> SERVICE cry SERVICE TYPE FRONTAGE NO.OF UNITS SERVICEORDERNO APPLICATION NO <br /> '. <br /> 0.00 _ _ <br /> .SETTER I ISTALLATION DATE BY <br /> METERNO S' ' #1 BACKFLOW.DEVICE SERIALNO <br /> R.F NO X2 BACKFLOW DEVICE SERIALNO.= <br /> BRAND - MODEL NO: ' <br /> METERISTAI,GATION DATE -.`BY - .. s: <br /> WATER ON= OFF_.;LOCKED OUT BY T,SG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP 17903 PERMIT TYRE REPLID NO. <br /> AIR <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side,per EMC 14.08.260` <br /> SIDE SEWER REPAIR <br /> INSPECTED BY - DATE _ _ <br /> SEWERUT.I�ITYFEE $30:00 , DEC 18 2018 <br /> • Td STING s �q CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $30.00 <br /> -I PERMIT Ni71VIBER'. U1812-020 <br /> I . <br /> ADDRESS.COPY." <br />