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........... ---is'2 5 SSA/ 4-0 78g0 0' CITY OF EVERETT <br /> UTILITIES <br /> EVERETT PERMIT SERVICES <br /> W A S H I N G T O N PERMIT 3200 CEDAR STREET <br /> .�{� EVERETT,WA 98201 <br /> �ZZ//0 Z. .4j 7.6 555 (425)257-8810 <br /> rfI <br /> PERMIT NUMBER U2103-036 DATE <br /> JOB ADDRESS 10617 ROSEWOOD AVE V`n 1 i- g LEGAL DESCRIPTION <br /> DESCRIPTION NEW CONNECTION,3/4"WATER SERVICE&SYSTEM DEV 1 APN: 00552300301704 <br /> OWNER KUKHOTSKIY PAVEL TENANT <br /> 10617 ROSEWOOD AVE CONTRACTOR MAGIC HARDWOOD FLOORS LLC <br /> EVERETT WA 16825 48TH AVE W#460 <br /> LYNNWOOD WA 98037 <br /> PHONE <br /> PHONE E.\ i 4253990333 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NQ APPLICATION NQ <br /> 3/4" DUP 0.00 SO-14669 APP-19650 <br /> SETTER INSTALLATION DATE L/-Z 7-toll 1 BY i5 qI-) <br /> ` 7q SIZE =� ll'i1 `.�/r <br /> METER NO.['J�I 7�! /)(17.30�'"/�� NI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. /J l7/3 02 BACKFLOW DEVICE SERIAL NO. <br /> BRAND 1/V('.i- -c MODEL NO. <br /> METER ISTALLATION DATE Its 27' 2 0 2l BY 1"...5 0 _ <br /> WATER ON OFF ✓TE LOCKED OUT BY 1`-D ) TSG <br /> NEW CONNECTION,3/4" <br /> REMARKS: .._.. ..._. <br /> a <br /> �M g . <br /> 1 ^ `O <br /> PERMIT NO. PI _ <br /> JNNECTIOI. 0 s d d <br /> 40 c s o <br /> REMARKS: Please Note:The City is responsible for stru- Z /sewer on the City R a 2 o i a <br /> NO SEWER FEES OR SEWER SYS DEV FEE,AS MUKILTEO.i D -_co • a d ';. :2 ' <br /> F \ z rn v N L o E <br /> a x <br /> g � 84111 <br /> INSPECTED BY: Z .7 A .i� <br /> LL. g E'� mi rn <br /> _ � a oa,� <br /> SYSTEM DEVELOPMENT FEE WATE1? $4,; ~ °''.m m 's .Cr-IE-`"y <br /> E c rn ,3 v E <br /> WATER UTILITY FEE $3 � . _ .._. • <br /> ,i — <br /> a <br /> MAR 2 9 2021 <br /> % `YOFEVERETT <br /> TOTAL FEES $7,450.00 Permit Services <br /> PERMIT NUMBER U2103-036 <br /> UTILITIES COPY <br />