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4ILITIES <br />OWY OF EVERETT <br />:. <br />EVERETT <br />PERMIT SERVICES <br />W A S H I N G TO N PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U2105-003 <br />DATE <br />JOB ADDRESS 1314 122ND ST SE : <br />LEGAL DESCRIPTION <br />- DESCRIPTION NEW SIDE SEWER INSTALLTN-OUTSIDE CITY LIMITS, COE <br />APN. 00575400006600` <br />OWNER BLACK BRENT & JENIJOY <br />TENANT <br />1314 122ND ST SE <br />CONTRACTOR <br />1-12FLOW PLUMBING <br />EVERETT WA 98208 <br />5030 163RD PL SW <br />EDMONDS WA 98026 <br />PHONE 4256168846 <br />PHONE <br />2062475477 <br />WATER SERVICE <br />SERVICESIZE <br />SERVICE TYPE <br />FRONTAGE <br />NO OF UNITS <br />SERVICE ORDER NO: <br />APPLICATTON NO - <br />- <br />0.00 <br />. <br />SETTER INSTALLATION DATE BY <br />- - <br />METER -NO. SIZE AI BACKFLOW DEVICE SERIALNO. <br />- R.F. NO. <br />42 BACKFLOW DEVICE SERIALNO. <br />- <br />BRAND: - - <br />MODEL NO. <br />METERISTALLATION DATE - BY <br />I <br />WATER OIJ_ OFF _ LOCKED OUT BY TSG <br />REMARKS. <br />--!. Cn G13 C„ 2 4 :, co <br />r— H'I =" C"f"9 :?.- <br />01 <br />`. v <br />Csa rNil <br />SEWER SERVICE? <br />00, <br />c, <br />,A 17 <br />PERMIT NO. PERM TYPE <br />- SP-I884 <br />LID NO r 4 n 4 <br />_�. <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW sidiel i.68 ?.60 <br />NEW SEWER CONNECTION - OUTSIDE CITY LIMITS <br />a <br />' - <br />r—q cY ^ Cc7 <br />- - <br />INSPECTED By <br />.DATE ;.._� •..,C}. <br />FEES <br />SEWER SYSTEM DEV FEE <br />6,777.50 <br />v <br />SEWER UTILITY FEE 70.00 <br />Al 4 3 2021 <br />OF'' TT <br />CITY <br />TOTALFEES ; <br />Permit services <br />$6 847.50 <br />PERMIT NUMBER U2105-003 <br />ADDRESS COPY <br />