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:,i' OF EVERETT <br /> x i ILTTIE`S " <br /> b x <br /> PERMIT SERVICE <br /> F r , PENT; 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257 8810 =_ <br /> PERMiT<NUMBER U1903=014 • <br /> JOB ADDRESS 10221`1 ST,DR SE LEGAL DESC$IPTION <br /> DESCRIPT ON WATER,SEWER CONNECTION FOR LOT 2 <APN 003`96900001200 <br /> OWNER MORE BRA E&:ANGELA D , `TENANT <br /> 10221 IS m SE` /w Ef$`vt� -.'-!--'•---':-.-----.=-'---- <br /> : ,---;,449,4—c.,..,.---.. <br /> coNTRACTOR .. <br /> WA • <br /> `_- <br /> PHONE <br /> t : �` '�..` '�i, PHONE. <br /> WATER,SERVICE`< • I <br /> SERVICE SIZE - SERVICE TYPE 'FRONTAGE ',NO OFUNITS SERVICEORDER NO;'' APPLICATION NO <br /> h 0.00 I <br /> 'SETTER INSTAT:LATEON DATE -r BY - - -. <br /> i <br /> METER NO SIZE - " #1 BACKFLOW DEVICE SERIAL NO <br /> ,'RP:NO. _ - #2BACKFLOWDEVICE'SERIALNO. <br /> -BRAND <MODEL-NO� <br /> METERISTALLATIONDATE BY - ` - <br /> WATER ON OFF --_.LOCKED OUT BY <br /> TSG .;-.C.„--.--.,.:...-:,--.14 .-:::.':.„....-.... ...",: <br /> � `r--� . 3 . <br /> :.'..--ii"-..:lARxs, .INSTALL METER BOX ONLY FOR PRELIMINARY SHORT FLAT(SS16 005)'DEVELOPMENT"SUBTRACTED COST OF s� COIvTP#ETE <br /> SERVICE FEE METER ONLY'AND SYSTEM DEVELOPMENT EEES TO BE PAID FOR AND ISSUED UNDER SEPARATE 7y� PE vI-7;7ITS FOR <br /> X I .r�T <br /> r, 3 �, lTe.,ya. I- <br /> .. .. .. �. ., _ ,,,-..,,-,.:n„:._ <br /> - .Yom--`_ , <br /> SEVER SERVICE <br /> $ r, <br /> PERMITNO - PERMITTYPE NEW CONNECTION LIDNO t� - <br /> REMARKS: Please Note The CItyIS responsible for structural defects m the:side sewer on the City ROW side per <br /> SEWER CONNECTION EOR NEW LOT 2 FOIL FREL,IMINARY SHORT PLAT SS 16 005 .--..-;',?:„,..:__,-1-_,4-..':.1--.7-4:_;,- <br /> , <br /> .IrJ <br /> INSPECTEDEY - .,ATE;- - r <br /> 1,;- FEES . <br /> SEWER UTILITY FEE $70 00 <br /> WATER UTILITY FEE .;; $2,530.00 <br /> T;OTALFEES $2,600 00 <br /> PERMIT NUMBER„ U1903 014 <br /> ADDRESS COPY <br /> • <br />