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3 CITY O ..:'''''E..-..- ERETT <br /> S.. �' UTILITIES ,:�` <br /> VaE R E'T'T, ,} 'PERMIT SERVICES <br /> WASHINGTON PE Il <br /> r .: 3200 CEDAR,STREET <br /> -`i '. EVERETT WA 98201 <br /> (425):257 8810: <br /> PERMIT NUMBER U19:06 031 DATE <br /> JOB ADDRESS ' 5304 FLEIVIING Rp A&E • r EGAL DESCRIPTION <br /> DESCr' '-1' N , 3I4"Sc'V FOR UNIT B/NI W SEWER CONNECTIONS/DEV FE APN.: <br /> _.. 00393201001902 <br /> °� FIAACK;BROTI RS INC . '- ` TENANT <br /> 3922 3922 87TH AVE•-NE • <br /> 8 MLLE` WA 98270 CONTRACTOR_ HAACK ROTHFRS INCORPORATED--- <br /> ' 3.922 87TH AVETTE <br /> PxaN MARYSVILLE WA. 98270 <br /> PHONE 4253977360 <br /> ` WATER SERVICE ,I <br /> SERVICE SIZE - SERVICE TYPE. FRONTAGE NO.OFUNITS <br /> . - SERVICE ORDER NO:: APPLICATION NO' - <br /> 3/4" DUP <br /> 0.00 SO--14448 : . - .APP=19434 <br /> SETTERINSTALLATIONDATE.10-/-15-=it-iii- BY. .I—INII.. <br /> SIZE #1 BACKFLOW DEVICE SERIALNO:' <br /> X.F NO <br /> 42221111311149111111311 <br /> INIIIi1�Ndlllld � " ,- <br /> BRArro`1563563990 J +n DEL'BACKFLOW O.:- ICE. : -- No. <br /> '''''''',, / nom MODEL NO. <br /> METER IST TION DATE 10Lit./;LO(1 BY fl :�-L, - - <br /> WATER ON- OFF _LOCKED OUT �BY :�-\C�. <br /> TSG <br /> :`3/eMETER, NIT B ONLY` <br /> U ' <br /> SEWER SERVICE <br /> PERMIT NO - ..SP-18072 <br /> PERMIT TYPE - <br /> NEW CONNECTION LmNO. <br /> REMARKS Please Note 'The Cit=y is responsible"for structural defects in the side sewer on <br /> • the City ROW side per EMC 14 08.260: <br /> 2:NEW SEWER CONNECTIONS <br /> II ISPECTED BY - - - <br /> I DATE <br /> FEES <br /> SEWER UTILITY FEE $I40;00 <br /> SYSTEM DEVELOPMENTFEE SEWEF $S 121,00 <br /> SYSTEMDEVELORME. FEEWATEF <br /> _', AWATER � _$3 957 00 <br /> UTILITY FEE: $3 135.00 _ `JU. " <br /> _ � � ' 2019 <br /> 'CITY OF <br /> V <br /> TOTAiFEEs Per- $ ERET <br /> $12,353 00 PermitSe- �' <br /> rVtCeg - <br /> 'ERMIT NUMBER U1906-031 <br /> J`" <br /> UTILITIES COPY <br />