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-7 gZ 3 S D di. -750.g5 CITY OF EVERETT <br /> UTILITIES <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET • <br /> EVERETT,WA 98201 <br /> ;Z:9a21 17 V 5 (425)257-8810 <br /> PERMIT NUMBER U2108-019 DATE 10/5/2021 <br /> JOB ADDRESS 1430 112TH ST SE LEGAL DESCRIPTION <br /> DESCRIPTION MODIFY EXTG 3/4"SERVICE TO 1"DOM/FIRE COMBO. APN:' 28051900402000 <br /> OWNER Elsabet Gebreyes TENANT <br /> • 1430 112TH ST SE CONTRACTOR M FIRE PROTECTION SYSTEM LLC <br /> EVERETT WA 98208 20607 94TH AVE E <br /> GRAHAM WA 98338 <br /> PHONE 2067796011 <br /> PHONE 2533159266 <br /> • <br /> • WATER SERVICE <br /> • <br /> SEE CE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> Mr DOM/FI 0.00 <br /> SEt?ER INSTALLATION DATE �� IL' 2 � <br /> 1 BY � ' 2 <br /> METERNO. (W 4dd t SIZE�j i" . HI BACKFLOW DEVICE SERIAL NO. <br /> (51 R.F.NO. f\3 4 1 N2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND Wyffic•Se ( .yam; ,q- MODEL NO. ' <br /> METER ISTALL ON DATE Il!1 1^(i! BY 3O' vu < I3 • <br /> WATER ON 4 OFF_ LOCKED OUT BY"3-°C TSG <br /> MODIFY EXTG 3/4"SERVICE TO 1"DOM/FIRE COMBO.1"TAP ON 16"MAIN AND INSTALL 1"METER WITH BOX.OWNER REQUEST. <br /> REMARKS: ...__..—.._ <br /> N N m » N <br /> 4 S <br /> c m co 0 m N 5 1 °1 E. <br /> -I <br /> O �C'f co A p 4 N Of <br /> - <br /> - 2 N W m ; 'O A <br /> I; if rn <br /> C O C m N S <br /> = = fgaioNaN •T7 Z <br /> PERMIT NO. caz m m n 7 § n v C -. . <br /> � � yoQ. cT = = r- Gfp <br /> REMARKS: Please Note:The City is responsible for stru E. m 2.0-CD X .5 o Z C 14.08.260 <br /> N O -. `G m n Cn Z <br /> ii d V ° 0 V N A''6• N <br /> 7 N LTO • • / in <br /> INSPECTED BY: -an m co O a ..-. .., i_ — <br /> U1= C71= <br /> "..I EA_ V- <br /> i= iE <br /> I i_ i` <br /> .`.1; CO wE <br /> _Lm,' C11 gol 01 c <br /> eT1= e71_ <br /> Credit Card Fee $17 *' 'p <br /> WATER UTILITY FEE $7,51 <br /> TOTAL FEES $7,687.85 <br /> PERMIT NUMBER U2108-019 <br /> UTILITIES COPY <br />