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p `ILITIES <br /> TY OF EVERETT <br /> ', . PERMIT SERVICES <br /> ba d P RMIT <br /> 3200 CEDAR STREET <br /> EVERETT,=WA 98201 <br /> (425)257-8810' <br /> PERMIT NUMBER 171703-092 DATE: f(7i( <br /> r <br /> JOB ADDRESS 3615'GEYER LN LEGAL DESCRIPTION ELN THOF 231.84FT,TO TPB TH.,C+ <br /> DESCRIPTION 1",COMPLETE SERVICE,RECONNECT'SEWE$FOR NEW SF APN. 00433606005204 <br /> ° FILIPPOVDANIEL&SVETLANA " TENANT <br /> CONTRACTOR <br /> 3615 GEYER LN <br /> EVERETT WA. 98203-1207 <br /> OWNER <br /> PHONE 4252316622 <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE.- SERVICETYPE FRONTAGE NO.OF UNITS VICE ORDER NO. APPLICATION NO. <br /> SER <br /> 1" DOMIFI 0:00 SO-13921 I, :,.APP-18' 0. <br /> SETT8E INSTALLATION DATE BY <br /> SIZE #1 BACKFLOW DEVICE,SERIALNO. ..� <br /> #2 BACKFLOW DEVICE SERIAL NO. <br /> MODEL NO. '��dirk, ® ® i <br /> METER Na <br /> METERISTALLATLONDATE BY ®: <br /> WATERON_OFF _ LOCKED ODI* BY <br /> ,TSG <br /> REMARKS` '1'COMPLETE SERVICE-DECOMMISSION 3/4."UPGRADE'1 FOR SPRINKLERS AS REQ'D�BY FIRE DEPT _ :- <br /> 1 SEWER SERVICE <br /> PERMIT NO, - ' :�P-1/175 ", PERMIT . , I <br /> NEW CONNECTION 'IID ISO... <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 /> RECONNECT <br /> INSPECTED"BY, DATE: <br /> FEES <br /> SEWER UTILITY FEE $60.00 <br /> WATER UTILITY FEE $2,900.00 <br /> MAR 31 2017 <br /> ,CITY OF EVERETT <br /> FEES : $2,960.00 Permit Services <br /> PERMIT NUMBER ' U1703-092 <br /> ADDRESS COPY <br />