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UTILITIES CV CITY OF EVERETT <br /> 06 20 8 PERMIT SERVICES <br /> '� PERMIT <br /> IISERVICES 3200 CEDAR STREET <br /> 4tO?7I oO EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1712-027 DATE: <br /> JOB ADDRESS 2204 112TH PL SE LEGAL DESCRIPTION <br /> DESCRIPTION WATER/SEWER FOR NEW TOWNHOUSE-UNIT 13 BLDG D APN: 00574700101903 <br /> OWNER SILVER LAKE TOWNHOMES LLC TENANT <br /> 19528 VENTURA BOULEVARD CONTRACTOR <br /> Tarzana CA 91356 M V M DEVELOPMENT&CONST INC <br /> 19528 VENTURA BLVD#573 <br /> Tarzana CA 91356 . <br /> PHONE 8188226560 <br /> PHONE 8183432310 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR 0.00 SO-14199 APP-19188 <br /> SETTER INSTALLATION DATE / BY �` <br /> METER NO.1 /ss-26 2 5 ?/O SIZE /� #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F. <br /> F.NO. 552,4)2,pS J�j f v` #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND &Liz l '/�_`. _/'� ' C, / 9 MODEL NO. <br /> METER ISTALLATION DATE -3d-/ / BY 17 ?' <br /> , <br /> WATER ON )(OFF_ LOCKED OUT BY q v TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-17558 PERMIT TYPE NEW CONNECTION I LID NO. I <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 /> IFEES <br /> I <br /> SEWER UTILITY FEE $70.00 <br /> WATER UTILITY FEE $500.00 <br /> S & L L' f <br /> ? 1-"'r:10o r���� ,�; ,y <br /> TOTAL FEES $570.00 -' " <br /> G�:2"/;Y.;, <br /> IPERMIT NUMBER U1712-027 I <br /> UTILITY BILLING COPY <br />