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U <br /> TILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> � IT 3200 CEDAR STREET <br /> t . <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMITNUMBER U1803-015 606 ,p/ ra r' , DATE 3/12/2018 <br /> JOB ADDRESS 5001 COL,13.3'AVEv , '�" c LEGAL DESCRIPTION " <br /> DESCRIPTION WATER,SEWER FOR NEW SFR AFN: 00377500000500 <br /> OWNER GLACIER VIEW PROPERTIES LLC TENANT <br /> 6101 200TH ST SW SUITE 205' CONTRACTOR GLACIER VIEW.PROPERTIES LLC <br /> ` LYNNWOOD WA 98036. r <br /> 10121 EVERGREEN WAY <br /> • EVERETT WA 98204 <br /> PHONE <br /> PHONE 4255084380 <br /> ' WATER SERVICE' <br /> SERVICE SIZE. SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDERED APPLICATIONNQ <br /> 1" DOM/FI 1.00 SO-14239 '" APP-19225: • <br /> • <br /> "SETTER INSTALLATION DATE BY <br /> .METERNO. SIZE :NLBACKFLOW DEVICE SERIALNO. <br /> RF.NO .1 i#2BACKFLOWDEVICE SERIAL NO. <br /> 1f <br /> BRAID _. MODEL NO <br /> METER ISTALLATION DATE .. ABY <br /> WATER ON_ OFF___ LOCKED OUT BY <br /> NEW 1"SERVICE.SPRINKLERS REQUIRED <br /> REMARKS:: <br /> I ` _ SEWER SERVICE , . I. <br /> PERMIT NO. -.,PERMIT TYPE NEW CONNECTION . Lm NO. <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 /> INSPECTED BY: DATE <br /> FEES W <br /> SEWER UTILITY FEE $70.00 - <br /> WATER UTILITY FEE $3,016.00 <br /> TOTAL FEES $3,086.00 <br /> PERMIT NUMBER U1803-01`5 f <br /> l <br /> q-55cc ep 3f( / g uc,,,,D f7) D cv Nets ii>iftice <br />