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• CITY'OF EVERETT <br /> s UTILITIE S <br /> - PERMIT SERVICES <br /> -Vr 4 PERMIT <br /> 3200 CEDAR STREET <br /> 5. '' EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER 151804 045"!` DACE: <br /> JOB ADDRESS 2003 ADAMS AVE LEGAL DESCRIPTION <br /> DESCRIPTION -3/4"NEW CONNECTION AND SEWER!NEW SFR APN: 00545002002600 <br /> OWNER GREEN DANA D TENANT <br /> 2011 ADAMS AVE . CONTRACTOR OWNER <br /> EVERETT WA 98203 <br /> PHONE <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE 'FRONTAGE NO.,OF UNITS SERVICE ORDER NO. APPLICATION NO , <br /> 3/4" SFR 0.00 SO-14278- ) APP-19264 <br /> Sbi1L• R INSTALLATION DATE'i 4 i. �``. BY:. ,� <br /> METER NO 3CoB°`(Q32.,'"S, - SIZE; ( - 41 BACKFLOW DEVICE SERIAL NO. - <br /> RF,NO. I S4 z4(..V )C <br /> :C - #2 BACKFLOW DEVICE SERIAL NO. - - - <br /> BRAND'N c ,{,�, _ - <br /> MODEL NO. <br /> METERISTALLATIONDATE '� ® BY � - - <br /> WATERON_OFF_ LOCKEDOUT BY - TSG <br /> 3/4°NEW CONNECTION <br /> SEWER <br />• PERMIT NO � SP-17672 'PERMIT TYPE <br /> NEW CONNECTION :I LID NO I <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 /> NEW CONNECTION <br /> INSPECTED BY:' .. I DATE . <br /> FEES <br /> SEWER UTILITY FEE $70 00 <br /> WATER UTILITY FEE � $3,016.00 <br /> APR. 3 2018 <br /> CITY OF EV..: <br /> TOTAL FEES $3,086.00 Perrnrt Ser. ' <br /> /CeS <br /> IPERMIT NUMBER 151804-045 <br /> UTILITIES'COPY <br />