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-� ,, CITY OF EVERETT <br /> UTILITIES • - <br /> -• <br /> t !,- ''''N..",-.,--' - • PERMIT SERVICES <br /> 1: PERMIT <br /> '¢' �x T'Ve 3200 CEDAR STREET <br /> ':-:-:"}:•;''',#,-,S.....-- <br /> �'- z EVERETT,WA"98201 <br /> (425)257-8810. <br /> PERMITNUMBER TT1903,037" DATE <br /> JOB ADDRESS90104TH AVE W LEGAL DESCRIPTION <br /> DESCRIPTION. WATER,SEWER,SYS DEV FOR NEW SFR APN: <br /> OWNER HAACK BROTHERS INC. TENANT <br /> 3922 87TH 4VE NE. coNTRAcToR HAACK BROTHERS INCORPORATED <br /> MARYSVILT,E WA 98270 3922 87TH AVE NE <br /> MARYSVILLE WA -98270 <br /> PHONE '14- p <br /> C - 7 "+ Y" ?7 PHONE4253977360 <br /> IWATER SERVICE I <br /> SERVICE SIZE •SERVICE TYPE FRONTAGE • NO.OF UNITS SERVICE ORDER IVO APPLICATION NO <br /> 3/4" SFR 1:00 SO-1,4390 I ; APP-19376 <br /> SETTER INSTALLATIOND""ATE. S_ ...�1,cl BY 1 s..- - <br /> p ' ". y <br /> METER N0. `4� �2 4 -CIZE S_L� #1 BACKFLOW DEVICE SERIAL NO. _ <br /> IIIMINIIIIMniuuli <br /> ' RF.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND "I.1563059572 <br /> gyp..- r-z:` . ../ ,- MODEL NO.- <br /> .METER,TSTALLATIONDATE -.Z 1 Q BY ":P - <br /> WATER ON OFF�I.LOCKED'OUT .'BY P5 TSG <br /> ARK$; <br /> NEW 3/4"`COMPLETE SERVICE FORNEW SFR <br /> REM ... .. .. '. .- - - ' <br /> • , <br /> = SEWER SERVICE <br /> PE T NO. PERMIT TYPE NEW CONNECTION 'LID NO . <br /> SP 17982 <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 SEWER CONNECTION WITH 1 SIDE SEWER CONNECTION FOR NEW SFR , <br /> INSPECTED EY. DATE <br /> IFEES <br /> SEWER UTILITY FEE $70 00 <br /> SYSTEM DEVELOPMENT FEE SEWEE $5,121.00 <br /> SYSTEMDEVELOPMENTFFEE WATEF $3,957.00 ll <br /> pt <br /> WATER UTILITY FE,E $3,135.00 1°I,AR z, 9 2019; <br /> CITY£�F EVERETT . - - _..--- .: :: <br /> TO.TALFEES` $12,283:00 Perrnit"Services <br /> I PERMIT NUMBER 'V1903-1)S7" <br /> I <br /> UTILITIES COPY <br />