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41 igV�5 71 `1`t Z CITY OF EVERETT <br /> U I ITIES <br /> E V F + E T T PERMIT SERVICES <br /> • WASHINGTON <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> Of?/7 \(L S (425)257-8810 <br /> + I PERMIT NUMB U2010-002 DATE . <br /> JOB ADDRESS 6617 SSOCIATED BLVD STE 100 , LEGAL DESCRIPTION <br /> DESCRIPTION 4"TAP ON 16"WATER MAIN,CONNECT TO CONTRACTOR I APN. 28040100303300 <br /> OWNER LBA/PPF INDUSTRIALASSOC/W VALLEY.LL TENANT AMAZON <br /> PO BOX 847 CONTRACTOR SIERRA CONSTRUCTION CO INC <br /> CARLSBAD CA 92018 19900 144TH AVE NE <br /> . WOODINVILLE WA 98072 <br /> PHONE <br /> PHONE 4254875200 . <br /> WATER SERVICE <br /> SERVICE SIZE 1 SERVICE TYPE 1 FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 4" COM i� 0.00 SO-14629 APP-19612 <br /> SETTER INST���.ATE .� /� B� ��) /�..y �r � C" <br /> METER NO. , �' / SIZE / �A /G(„e , Al BACEFLOW DEVICE SERIALNO. <br /> R.F.NO. Qi� ff lill+gEM ia't ,BACKFLOW DEVICE SERIAL NO. <br /> r iUJ191�:�1t:i$ <br /> BRAND AIeR --r`4 riZ 7567166608,1 1}�"66.1669J9?EL No. <br /> METER )Z ISTALLATION DATE I I I°�l. I Zo }4BY .1 <br /> WATER ONe v OFF_ LOCKED OUT BY TSG..-.-.%:--"- <br /> 4"TAP ON 16"WATER MAIN,CONNECT TO CONTRACTOR INSTALLED+ PIPE `y 4" AND INST L 3"METER �/ <br /> REMARKS: C/CJ 1-. / 0 `L/� a. 127 • <br /> SEWER SERVICE I <br /> PERMIT NO. - PERMITTYPE , NEW CONNECTION I LID NO. I <br /> • <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 n <br /> ,1 1/\ <br /> d `s:e`,.\**4 h <br /> ) 4 1\e• 1. \ <br /> WATER UTILITY FEE $9,260.00 - a "' / 1'� <br /> ate' <br /> cr <br /> TOTAL FEES $9,260.00 <br /> PERMIT NUMBER U2010-002 <br /> UTILITIES COPY <br /> . <br />