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U' LITIES COY OF EVERETT <br /> #1111A 11,PILA' <br /> •AdaPERMIT SERVICES <br /> ltPERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1703-091 DATE: / J <br /> JOB ADDRESS 6524 TYEE RD LEGAL DESCRIPTION AIRPORT ACRES BLK 000 D-01 -N <br /> DESCRIPTION SFR REMODEL TO CONVERT TO DUPLEX-WORK WITHOU" APN 00371400001701 <br /> OWNER SCHROEDER GREGORY S TENANT <br /> 16820 45TH AVE NE CONTRACTOR OWNER <br /> LAKE FORREST PARK WA 98155 <br /> PHONE <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 1.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. R2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS: 2ND UNIT CONNECTION TO EXISTING WATER SERVICE.EXISTING FLAT RATE CONNECTION REQUIRED TO BE <br /> CONVERTED TO A METER.CONTACT UTILITY BILLING @ 425-257-8999. <br /> SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE DEV FEES LID NO. <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 /> 2ND UNIT CONNECTING TO EXISTING SEWER CONNECTION <br /> INSPECTED BY: I DATE: <br /> FEES <br /> SYSTEM DEVELOPMENT FEES-RESII $6,394.00 <br /> APR 072017 <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $6,394.00 <br /> IPERMIT NUMBER U1703-091 <br /> ADDRESS COPY <br />