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ILITIES C 'Y OF EVERETT <br /> 4001 . <br /> sq1&" APPERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1809-025 DATE 2 0 SEP 2018 <br /> JOB ADDRESS 3623 HOYT AVE LEGAL DESCRIPTION <br /> DESCRIPTION New Complete 1" Fire Service with DCDA APN: / 00451401101100 <br /> OWNER SIDHU SURINDER S& SUKHPAL TENANT <br /> 2715 NW 166TH TERRACE CONTRACTOR Owner <br /> BEAVERTON OR 97006 <br /> PHONE 5038668020 <br /> PHONE / <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE '1 \/ NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 1" FIRE I 0.00 SO-14332�I I APP-19318 <br /> SETTER INSTALLATION DATE _ _ BY \(\7" <br /> METER NO. _ SIZE / 41 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. _ 42 BACKFLOW DEVICE SERIAL NO. <br /> BRAND _ , i MODEL NO. <br /> METER ISTALLATION DATE BY ,lir <br /> irjr "r7 <br /> WATER ON OFF LOCKED OUT BY TSG .7473 —I Pa <br /> I"Fire Service with DCDA F t ; I <br /> REMARKS: <br /> 4 __ --i <br /> i"d Fl . <br /> .:1: {,: . Cs.) <br /> Ell rrt 1..,1 _ <br /> C:i � <br /> [j, <br /> SEWER SERVICE + ter: Ep r-1.i I <br /> PERMIT NO. PERMIT TYPE <br /> NEW CONNECTION 1 <br /> LID NO. r'6y°�� ` <br /> .:r1 1. 1 `.J: <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC kfila[ , _ r,: <br /> + F7 d I-`f..I <br /> I—^0v—,aTI <br /> G 8 C+ 0,-,Ls <br /> INSPECTED BY: I DATE (---= 2,r <br /> IFEES I <br /> PLUMBING FEES $35.00 <br /> WATER UTILITY FEE $3,016.00 <br /> TOTAL FEES $3,051.00 <br /> IPERMIT NUMBER U1809-025 <br /> ADDRESS COPY <br />