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F. rY $ILITIES ( 'Y OF EVERETT <br /> ` <br /> EVERETT PERMIT SERVICES, <br /> WASHI°NGTON - - <br /> PERMIT <br /> 3200 CEDAR STREET: <br /> EVEREII,WA 98201 <br /> X42 .,257-8810 <br /> PERMIT NUMBER U1909 035 DATE: <br /> JOB ADDRESS 150052ND'ST LEGAL DESCRIPTION <br /> DESCRIPTION 6"TAP ON 12",WATER 1VT2iIN CONNECT TO CONTRACTORT7 APN. 28050600100100' <br /> OWNER EVERETT GOLF&COUNTRY CLUB T T <br /> 1500 52ND ST SE CONTRACTOR FIRST PHASE CONSTRUCTION <br /> EVERETT WA ,98203-3868 17310 107THAVE SE <br /> SNOHOMISH WA' 98296 <br /> PHONE <br /> PHONE' ..3606686713 <br /> IWATER SERVICE <br /> SERVICE'SIZE SERVICE TYPE: FRONTAGE r NO OF UNITS, SERVICE ORDER NO C - APPLICATION NO . <br /> 6" I COM <br /> APP-19506 <br /> SO14520.._ <br /> SETTER INSTALLATION DATE BYE.. <br /> METER NO. '.SIZE i #1 BACKFLOW DEVICE`SERIALNO'`- <br /> RENO. - #2BACKFLOWDEVICESERIALNO.,__ <br /> BRAND MODEL NO. - <br /> METERISTALLATIONDATE -Ey,- <br /> WATERON_ OFF_ LOCKEDOOT -BY TSG r <br /> r <br /> 6"TAP ON 12"WATER MAIN CONNECT TO CONTRACTOR INSTALLED 6"D.I.PIPE" , <br /> REMARKS 171 r'"iw- <br /> ,SEWER SERVICE. <br /> , <br /> *T a r.� <br /> PERMIT NO. - PERMIT TYPE NEW CONNECTION . LID NO. # 1 - <br /> 4,,a,L . ems`'. <br /> REMARKS. Please Note:The City is responsible for structural defects in the side seweron the CityROW side Per EMC 14•tl$Il <br /> -{api <br /> INSPECTEDEY. DATE J-.- »+.'. <br /> � - - FEES <br /> WATER UTILITY FEE $17,320:00 i <br /> II <br /> SEP 2 6 2019 <br /> CITY QF EVERETT <br /> Permit Services <br /> TOTAL FEES $17,320.00 <br /> PERMIT NUMBER ' U1909-035 <br /> I <br /> ADDRESS COPY <br />