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limo! -UTILITIES <br /> SrY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINOTON PERMIT <br /> 3200CEDAR STREET <br /> . EVERETT,WA 98201 <br /> PERMIT NUMBER DATE 0 p�4�5� �Y" S <br /> U1911-005 O <br /> JOB ADDRESS 1525 FLORIDA DR • LEGAL DESCRIPTION <br /> DESCRIPTION LOT I WATER,SEWER,WATER SERVICE LINE FOR NEW SF APN: 00393900701800 <br /> OWNER BUSTARD CUSTOM CONSTRUCTION INC TENANT <br />• 1301E 107TH ST NE CONTRACTOR BUSTARD CUSTOM CONST INC <br /> LAKE STEVENS " WA 98258 <br /> PO BOX 1243 <br /> MARYSVILLE WA 98270 <br /> PHONE <br /> 'PHONE • 4258766551 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE -FRONTAGE - - :NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ - <br /> 1" DOM/FI 1.00 SO-14570 APP-.19556 <br /> SETTER INSTALLATION DATE BY - <br /> • <br /> METER NO. - • SIZE - - #I BACKFLOW DEVICE SERIAL NO. - <br /> R.F.NO. • F2 BACKFLOW DEVICE SERIAL NO. - - - . <br /> BRAND - - MODEL NO. _ <br /> METER ISTALLATION DATE BY - - - <br /> WATER ON . OFF LOCKED OUT.. - BY TSG _ - <br /> SPRINKLERS REQUIRED.1"METER ONLY,CREDIT FOR PRIOR DEMO'D SFR APPLIED TO WATER SYSTEM DEVELOPMENT FEE,WATER SERVICE <br /> REMARKS: LINE BEHIND METER - <br /> . <br /> SEWER SERVICE <br /> PERMIT xo. SP-18224 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 /> NEW SEWER CONNECTION TO MAIN PLUS 1 CONNECTION TO BUILDING,CREDIT FOR PRIOR DEMO'D SFR APPLIED TO SEWER SYSTEM <br /> DEVELOPMENT FEE. <br /> . <br /> INSPECTED BY: I DATE -- <br /> FEES a R n, <br /> PLUMBING FEES $35.00 NOV 0 SEWER UTILITY FEE $70.00 8 20IQ <br /> SYSTEM DEVELOPMENT FEE SEWEF CITY <br /> SYSTEM DEVELOPMENT FEE WATEF Pet OF E VERET <br /> WATER UTILITY FEE ' ' $605.00 mit ServjCeS T <br /> TOTAL FEES $710.00 <br /> PERMIT NUMBER U1911-005 <br /> ADDRESS COPY <br />