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imim <br /> `: ILITIESTY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U 1909-001 DATE U ni <br /> JOB ADDRESS 5113 SOUND AVE LEGAL DESCRIPTION <br /> DESCRIPTION MOVE EXISTING SERVICE APPROX 215'N NEAR DRIVEWA APN: 00571700400100 <br /> OWNER HENRIKSEN MARTIN TENANT <br /> 5113 SOUND AVE <br /> EVERETT CONTRACTOR <br /> WA 98203-1220 <br /> PHONE <br /> PHONE <br /> I WATER SERVICE 1 <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS <br /> SERVICE ORDER NO APPLICATION NO <br /> 1 SFR <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE <br /> #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.Na <br /> #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY --n <br /> TSG rri ""1 r'•' <br /> MOVE EXISTING I"SERVICE s1 <br /> REMARKS. I"` w- �" ,� <br /> + <br /> C7ty <br /> 1.7a !'�1 <br /> SEWER SERVICE r I"fi,t; <br /> IP <br /> I PERMIT NO A 1 I . <br /> PERMIT TYPE ALTERATION I LID NO. v I I <br /> f',..I <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0 2Gi 5- rrt <br /> r-3 0 r•..a <br /> --i C_?"1 I._.. <br /> INSPECTED BY: I C Y1 <br /> DATEL/I <br /> IFEES <br /> 1 <br /> WATER UTILITY FEE $4,265.00 <br /> TOTAL FEES $4,265.00 <br /> J <br /> PERMIT NUMBER U1909-001 <br /> I <br /> ADDRESS COPY <br />