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. u <br /> „Pc 7g3L-5-53 A ---)g 555 <br /> UTILITIESCITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1903-012 DATE <br /> JOB ADDRESS 215 DORN AVE UNIT C LEGAL DESCRIPTION <br /> DESCRIPTION WATER,SEWER. SYSTEMS DEV FEES FOR DUPLEX UNIT C Ate: 00392500001700 <br /> OWNER EFI PROPERTIES LLC TENANT <br /> 205 E CASINO RD#12 CONTRACTOR OWNER <br /> EVERETT WA 98208 <br /> PHONE 4253460934 <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATIONNQ <br /> 1" DOMIFI 0.00 SO-14385 APP-19371 <br /> SETTER INSTALLATION DATE 6/0f ZCZ`( BY - �+fey,F <br /> ! « <br /> METER NO. SIZE /1BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. 15 C I /S iJ l Lj /2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND A)ep �r 'g�J MODEL NO. <br /> METER ISTALLATION DATE 6l/ // I k,S? BY r <br /> WATER ON OFF 14e LOCK' "-----5y *3—P F TSG <br /> I"Fire/Domes <br /> REMARKS ° <br /> dotiqs <br /> ` / f.; -=-. yS6>'4 ICE <br /> 4y'x- <br /> 16: <br /> PERMIT NO. V>4'/l�I4.; 9 L <br /> , ONNECTION up Na95 �/ <br /> REMARKS: fs responsible fin `09 e sewer on the City ROW side per EMC 14.08.260 <br /> I new sewer cow Ilg for units C&D. <br /> i <br /> INSPECTED BY. / DATE <br /> FEES I . <br /> 0 6 / 'u 4 � n <br /> SE' ate: 8 a 1�' 'I� 9 �' c <br /> t, <br /> s's Address. { 4SG° i' AI 2 6 1 1 <br /> i <br /> S Cation e is , C pp ' I MAR 2 6 2010 <br /> F-L'Mtr� p . 3" CITY OF EVERETT <br /> �r AT . 0 ter or E�t12._ g C Permit Services <br /> onked Oi f° VaCan i. C(� <br /> men 6 N - <br /> ts; I <br /> IPERMIT NUMBER U1903-012 <br /> / UTILITY BILLING COPY <br /> i <br />