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UTILITIES CITY OF EVERETT <br /> "Iloire 11/ 1" <br /> 441a1PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> ! t EVERETT,WA 98201 <br /> J O�� tP eJ (425)257-8810 <br /> PERMIT NUMBER U1902-009 DATE <br /> JOB ADDRESS 2514 RAINIER AVE LEGAL DESCRIPTION <br /> DESCRIPTION 6"TAP ON 6"MAIN FOR FIRE SERVICE APN: 00439154701700 <br /> OWNER EVERETT SCHOOL DIST 2 TENANT NORTH MIDDLE SCHOOL <br /> 4730 COLBY AVE CONTRACTOR TBD <br /> EVERETT WA 98203 <br /> PHONE <br /> PHONE <br /> I WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 6" FIRE 0.00 SO-14379 APP-19365 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF_ LOCKED OUT BY TSG <br /> 6"TAP ON 6"WATER MAIN AND CONNECT TO CONTRACTOR INSTALLED 6"D.I.PIPE FOR FIRE SERVICE.cONTRACTOR TO EXCAVATE,SHORE AND <br /> REMARKS: RESTORE. <br /> ISEWER SERVICE I <br /> PERMIT NO. PERMIT TYPE 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 /> INSPECTED BY: I DATE <br /> I FEES1 <br /> WATER UTILITY FEE $2,869.00 ; ) , r � \ <br /> 1 FEB 2 L ci ILL <br /> Li,/ <br /> CITY O irT F R E E 1 <br /> TOTAL FEES $2,869.00 <br /> PR mit Services . <br /> 1 PERMIT NUMBER U1902-009 <br /> I <br /> UTILITIES COPY <br /> 70aa?/(2--- <br />