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1r: <br /> CITY.OF EVERETT' <br /> v UTILITIES <br /> PERMIT SERVICES <br /> �� PERMIT <br /> � �� ' 3200 CEDAR STREET. ' <br /> E <br /> REIT;WA 98'201-Vil � - <br /> (425}257-8810. <br /> PERMIT NUMBER" U1902 019 ' DAA... ' I ' F`W 2'0�9 <br /> JOB ADDRESS 1526'ROCKEFELLER AVE LEGAL DESCRIPTION'' <br /> DESCRIPTION SIDE SEWER REPAIR A)N 00553632002300 <br /> OWNER GIBSON LEE TENANT <br /> 1526 ROCKEFELLERAVE coNTRACTO•R <br /> EVERETT WA 98201-2054 ROTO ROOTER SERVICES'CO <br /> 10655 INTERNATIONAL BLVD <br /> TUKWILA WA 98168: <br /> PHONE 5037566721 <br /> PxoNE 4257732257 <br /> IWATERSERVICE'- <br /> SERVICE SIZE - SERVICE.TYPE FRONTAGE NO.OE UNITS SERVICEORDERNO APPLICATIONNQ <br /> ,Sb]IBRIp7STALLATIONDATE - BY _ _ _ <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL"NO L - <br /> NY NO. #2 BACKFLOW DEVICE SERTALNO - <br /> BRAND <br /> (:MODEL NO. <br /> 'M_ETER ISTALLATIONDATE'" BY <br /> WATER ON_OFF_ LOCKED'OUT BY TSG ") <br /> REMARKS: '"; <br /> -t•u:) <br /> SEWER SERVICE _ '"i�'ra; <br /> Pi <br /> i, <br /> S SP-17956 • <br /> PERMIT TYPE REPAIR LIDNO. 'S7",� 3' <br /> REMARKS: Please Note:The City'is'responsible for structural defects in the side sewer on the City ROW side per EMC 14 Q82 � •- <br /> SIDE SEWER REPAIR <br /> MS�PELIhU BY.. <br /> FEES <br /> SEWER UTILITY-FEE $30.00 <br /> TOTALFEES': $30.00 , <br /> PERMIT NUMBER U1902-019 , <br /> ADDRESS COPY ' <br />