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7g_5 b21-719 -7 Sg) CITY OF EVERETT <br /> UTILITIES <br /> EVERETT PERMIT SERVICES <br /> , WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> �02 7 i 115 EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBS U2111-026 DATE <br /> JOB ADDRESS 121 112TH ST SW BLDG D CiZ00 LEGAL DESCRIPTION <br /> DESCRIPTION WATER/FIRE METER ONLY/DCVA BLDG D APN: 28042400402100 <br /> OWNER UNITED METHODIST CHURCH OF EVERETT TENANT <br /> 2112 3RD AVE STE 300 CONTRACTOR NELSON&SONS CONST CO INC <br /> SEATTLE WA 98121 PO BOX 228 <br /> WOODINVILLE WA 98072 <br /> PHONE <br /> PHONE 4257703263 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE "NO.OF UNITS SERVICE ORDER NO. APPLICATIONNO <br /> 11 <br /> *�O I ` 0.00 SO-14750 APP-19729 <br /> SETTER INSTALLATION DATE BY Fop (o ytttinti„-rjr�. <br /> METER NO. G a. SIZE /2 (I #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.F.NO. ,ll''61 !V nc(� Co` LO • <br /> d� R2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND NCP{ _ MODEL NO. • <br /> METER ISTALLATI1ONDATE 3-ty.-22 BY l-tp E <br /> WATERONJFF_ LOCKED OUT BY TSG <br /> 2"DOMESTIC METER ONLY <br /> REMARKS' 3/4"DETECT METER ONLY FOR 4"FIRE SERVICE AND DCVA <br /> t-z?% i V am.es-)-i L tj -1vd <br /> SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE WATER-DOMESTIC I LIDNU <br /> ,REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: I DATE <br /> FEES <br /> PLUMBING FEES $35.00 Nov 2 9 LtI tryL 1 <br /> WATER UTILITY FEE $1,655.00 <br /> CITy <br /> Permit services.RE TT <br /> TOTAL FEES $1,690.00 <br /> PERMIT NUMBER U2111-026 <br /> UTILITY BILLING COPY <br />