Laserfiche WebLink
� ILITIES �Ty OF_EVERETT <br /> f Y PERMIT SERVICES <br /> PERMIT <br /> l <br /> 3200 CEDAR STREET <br /> EVERET`I,WA-98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1812-016 <br /> JOB ADDRESS 3827 RAILWAY LEGALDESCRIPTION` <br /> DESCRIPTION NEW COMPLETE WATER SERVICE 3/4"METER APN. 00516864702900 <br /> OWNER FORD KERRY M&BARBARA L TENANT <br /> PO BOX 2357 CONTRACTOR <br /> SNOHOMISH WA 98291 <br /> PHONE 4253344696 <br /> PHONE <br /> WATER SERVICB I <br /> SERVICE SIZE SERVICE TYPE. FRONTAGE NO.OFUNITS SERVICEORDER Nu` APPLICATION NO <br /> 3/4" DOM/FI 0:00 SO-14351. APP=19337 <br /> SETTER INSTALLATION DATE BY - <br /> METER NO. SIZE - #1 BACKFLOW DEVICESERIAL NO <br /> R.F NO. #2 BACKFLOW DEVICE,SERIAL NO. <br /> BRAND MODEL NO. <br /> METERISTALLATION DATE. BY - • ,,",{ <br /> Hi <br /> WATER ON OFF--LOCKED OUT .BY TSG <br /> 3/4"COMPLETE SERVICE -a a <br /> REMARKS: <br /> ;1 ISEWER SERVICE Li 9 II- <br /> PERMIT NO PERMIT TYPE NE YY CONNECTION I.,.LID NO. U�.` 1 j <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.011,201 '• <br /> .7-. ,, •. <br /> ,-- <br /> 80-S2. cam:a' <br /> na <br /> INSPECTED BY: I DATE ' �` � _ <br /> FEES <br /> WATER UTILITY FEE` $3,016.00 <br /> TOTALFEES $3,016.00 <br /> PERMIT NUMBER U1812-016 <br /> ADDRESS COPY <br />