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12623 16TH AVE SE 2020-02-24
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12623 16TH AVE SE 2020-02-24
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Last modified
2/24/2020 11:57:51 AM
Creation date
2/24/2020 11:57:02 AM
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Address Document
Street Name
16TH AVE SE
Street Number
12623
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TILITIES <br /> fit <br /> TY OF EVERETT <br /> . PERMIT SERVICES <br /> � � r� <br /> PE I J. :3200 CEDAR STREET <br /> EVERETT, <br /> (425)257=8810 <br /> PERMIT NUMBER 111707-046 ' , DATE: 07/24/2017 <br /> JOB ADDRESS 12623 16TH AVE SE LEGAL DESCRIPTION'` <br /> DESCRIPTION SEWER FOR NEW SFR LOT 3-BASIC RB 1610-002 PLAN 194. APN. 28053000401000 <br /> OWNER PACIFIC HEIGHTS HOMES LLC TENANT , <br /> 620 SE EVERETT MALL WAY STE 35 CONTRACTOR WILLCO EXCAVATION INC <br /> EVERETT WA 98208 PO BOX 272' <br /> ARLINGTON WA 98223 <br /> PBONE , <br /> PHONE 3604356409 <br /> WATER"SERVICE <br /> SERVICE SIZE SERVICE TYPE: FRONTAGE NO.OPUMTS SERVICE ORDER NO:._ APPLICATION NO. <br /> SETTER INSTALLATION DATE HY <br /> METER NO, - SIZE #1 BACKFLOW DEVICE SERIAL NO. - <br /> ILF.NO. #2 BACKFLOW DEVICESERL41 NO. <br /> BRAND <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKEDOUT BY TSG <br /> REMARKS: . WATER INSTALLED UNDER U1606-032 AT TIME.OF SHORT PLAT <br /> 1 . SEWER SERVICE <br /> PERMITNO. SP-17372 . PERMITTYPE NEW CONNECTION I,LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the Ci RO <br /> ty W side per EMC 14.08.260 <br /> INSPECTED BY' _ :DATE:'. <br /> Iy <br /> SEWER UTILITY FEE $70:00 n <br /> TO ,1,,.31:2 <br /> P 2- /5 / - v JUL'2 4 201? i...") <br /> CITY OF EVERETT <br /> TOTAL FEES, $70.00 Permit Services <br /> PERMIT NUMBER U1707-046 <br /> f. <br /> ADDRESS COPY <br />
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