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UTILITIESRECEIVED CITY OF EVERETT <br /> '�'/ MAR .0 5 2018 PERMIT SERVICES <br /> d PERMIT 3200 CEDAR STREET_`. <br /> UTILITYSERVICES EVERETT;WA 98201 <br /> (425).257 8810 `. <br /> PERMIT NUMBER U171.2-019. DATE; <br /> JOB ADDRESS 2126 112TH PLSE LEGAL DESCRIPTION <br /> DESCRIPTION WATER/SEWER FOR NEW TOWNHOUSE-UNIT 15 BLDG E APN. 00574700101903 <br /> OWNER SILVER LAKE TOWNHOMES LLC TT <br /> 19528 VENTURA BLVD#573 CONTRACTOR M V.M DEVELOPMENT&CONST INC <br /> Tarzana CA 91356 <br /> 19528 VENTURA BLVD#573 <br /> Tarzana CA 91356 <br /> PHONE 8187441473 <br /> PHONE . 8.183432310 <br /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UMTS SERVICE ORDER NO- APPLICATION NO. - - - <br /> 3/4" SFR 0:00 SO-14195- APP-19184 <br /> -SETTER INSTALLATION DATE " BY <br /> METER NO. ']/5 7.0`.;23062' SIZE ' 5/(J #1 BACKFLOW DEVICE SERIAL NO <br /> R.F. ) <br /> . FNO. 5 5 21)g 2 3 O(Q. #2 BACKFLOW DEVICE SERIAL NO - - <br /> BRAND N /�� }' / --MODEL NO. <br /> METER ISTALLLAATION DATE / '3O'/ - BY ,�/'c.2(, - -_ <br /> WATER ON )('OFF LOCKED OUT BY !1 C.(O TSG <br /> 3/4"METER ONLY <br /> ISEWER SERVICE <br /> PERMIT NO. - SP-17552 PERMIT TYPE NEW CONNECTION. J.LRINO. <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. I ._DATE:_ <br /> - ase ` <br /> FEES <br /> I (' <br /> SEWERUTILITYFEE $70.00 MAR U 2 2018 <br /> WATER UTILITY FEE.- $500.00 <br /> CITY OF EVERETT <br /> PermitServices. <br /> TOTAL FEES $570.00 <br /> IPERMIT NUMBER, U1712-019 <br /> UTILITIES COPY <br />