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Y � <br /> UTILITIES ' CITY OF EVERETT <br /> ;,,;4,,,4,1,,1,,, PERMIT SERVICES. <br /> PERMIT 3200,'CEDAR STREET <br /> ;.1, EVERErr,;.WA 98201 <br /> 5)257 10 `- <br /> DATE: � _6 J 11k L i1 <br /> PERMIT.NUMBER - U1806-005 <br /> JOB ADDRESS 1921. 110TH ST SE LEGAL DESCRIPTION <br /> DESCRIPTION SIDE SEWER REPAIR APN. 00574700200106 <br /> OWNER ASTROFREAL ESTATE LLC• TENANT <br /> 109`,1 BOTHELL EVERETT TT HWY SE ` CONTRACTOR - <br /> EVERETT WA` 98208 AA PLUMBING LLC <br /> 8611 VISTARAMAAVE <br /> EVERETT WA 98208 <br /> PHONE <br /> PHONE 4254890123 <br /> (, WATER.SERVICE.';. I <br /> SERVICE SIZE •' SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO " APPLICATION NO. <br /> 0.00 <br /> SETTER INSTALLATIONDATE' BY - <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> _.R.F.NO. - #Z BACKFLOW DEVICE SERIAL NO. " ` ` <br /> BRAND - --MODEI,NO.' <br /> METERISTALLATIONDATE' . EY <br /> WATER ON_ OFF^.:LOCKED OUT BY _ TSG. 'i'"Q !I'"�"Y.' <br /> -: "ice- � +.�.e. .• '. <br /> REMARKS: ?tee�,i Cf'I _. <br /> SEWER SERVICE' , r�I 1 L <br /> .PERMIT Na SP-17722 PERMIT TYPE REPAIR. LID NO t 53 I, <br /> REMARKS; `Please Note:The City is responsible for structural defects-ill the side sewer on the City ROW side per EMC 14'0840. . 5- <br /> ' <br /> SIDE SEWER REPAIR :,--:-•-•;1 <br /> r_3a <br /> r—r� <br /> :DATE". 1‘ <br /> I—^ <br /> FESS , <br /> SEWER UTILITY FEE $30:00 <br /> TOTAL FEES $30.00 <br /> PERMIT.NUMBER' U1806-005 <br /> • <br /> ADDRESS COPY <br />