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UTILITIES CITY OF EVERETT <br /> �' � PERMIT SERVICES <br /> PERMIT <br /> , Gc 3200 CEDAR STREET <br /> -- EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1812-027 DATE 6 -D 2010 <br /> JOB ADDRESS 3432_ROCKEFELLER AVE SE LEGAL DESCRIPTION� <br /> DESCRIPTION SIDE SEWER REPAIR APN. 00436982101700 <br /> OWNER STAIGER:PAUL A TENAN <br /> 3107 ALASKA RD CONTRACTOR MR ROOTER <br /> BRIER WA 98036-8452 2000 S 116TH ST <br /> SEATTLE WA 98168 <br /> PHONE <br /> PHONE 2066512917 <br /> WATER SERVICE I <br /> SERVICE SIZE, SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO APPLICATION NQ <br /> 0.00 I <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE XI BACKFLOW DEVICE'SERIALNO. <br /> R.F.NO. I 52 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATIONDATE BY <br /> m <br /> WATERON_ OFF_ LOCKED OUT BY TSG 1..._.. r <br /> REMARKS: - --I <br /> 1--- <br /> C) <br /> c) <br /> SEWER SERVICE T r.. <br /> PERMIT NO. - SP-17908 PERMIT TYPE REPAID ntc. ,LID NO. � I <br /> •k"-, <br /> REMARKS: Please Noteo-The City is responsible for structural defects in the side sewer on the City ROW side per E11� Q&,2"' .�,. •w <br /> SIDE SEWER REPAIRS a=r-=i_p ,, <br /> c-• r; crl <br /> -..I I .,C., <br /> INSPECTED BY: - -DATE 1--4."... <br /> IFEES I <br /> SEWER UTILITY FEE $30.00 <br /> TOTAL FEES $30.00 <br /> PERMIT NUMBER U1812-027 <br /> ADDRESS COPY <br />