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-11711 UTILITIES CITY OF EVERETT <br /> PERMIT.' SERVICES <br /> EV E R E T T 1 a-�o 1 663e av 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON (425)257-8810 <br /> : ' - "2 2_ (3 6 y Online Inspection Request:onlinenermits.everettwa.Qov <br /> PERMIT NUMBER: U2205-001 DATE: 6/14/2022 <br /> JOB ADDRESS: 1427 100TH ST SW#171 LEGAL DESCR: <br /> DESCRIPTION: NEW SIDE SEWER&�W�ATER SERVICE INSTALLATIONS APN: 28041400400800 <br /> 'f , <br /> OWNER: JAY PICKERING i r woe) Esi.„,k TENANT: <br /> 8201 164TH AVE NE STE 200 CONTRACTOR: RIVERS EDGE ENVIRONMENTAL SERVICES INC <br /> REDMOND WA 98052 A Ogei 5 17115 SE 270TH PL <br /> • COVINGTON WA 98042 <br /> PHONE: (206)310-6100 4 PHONE: (208)946-9092 <br /> WATER SERVICE <br /> J SER I SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPUCATION NO. <br /> e"Vj�►//l� I �J�I <br /> 0 SO-14814 APP-19786 <br /> SETTER INSTALLAT1ON DATE II'''.3"let- BY 1� I� <br /> • {METER NO. 3`4g4E ID Z3 SIZE / i!1 BACKFLOW DEVICE SERIAL NO. <br /> Al.NO. I S63 7IG�C`627 Y #12 BACKFLOW DEVICE SERIAL NO. ' <br /> BRAND /Y e f "r'lr MODEL NO. _ <br /> METER ISTALLATION DATE /1"3��2-- t�BY 5 w <br /> • WATER ON OFF t/ LOCKED OUT BY. ei w TSG <br /> REMARKS: 3J4°COMPLETE'SERVICE AND sit?IG)`DFVELOPMENT FEES <br /> LN <br /> SEWER SERVICE+ <br /> Sk` 'P RMIT No. SP-18852 i .::_.H. . <br /> L;: ,}ice Please Note:The City is responsible for I ry ..r <br /> ,yr4,,,` ,AN,NECI?ON TO MAIN PLUS(1)CONNECTION + ®,r..am G�' • ' <br /> e.. <br /> �{ ?s°c ;! tsy !ems ila •-- <br /> 4;ECTED / <br /> / . - V <br /> • <br /> .yl v,, H 2 p fq N <br /> x s 3: . Z•fi tq .7 .n <br /> FEESI--‘ �. ..- C H a) <br /> Z § -21 .F: : i <br /> .+,'?.•`. :SYSTEM DEVELOPMENT FEE SEWER C \' :,...., _ . in v c <br /> A, C _ d <br /> , ..>Pf as :SYSTEM DEVELOPMENT FEE WATER *7 m E y 1 28 z <br /> r` a-.?INATFRiJTILITY FEE - s; CL s 2 ` ` ; <br /> t '•' ":Y SEWER UTILITY FEE =, LJ a>' _�, $ d v, E2 2 <br /> { Ee O7 <br /> .. y 3 v g ' <br /> T err <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. ' <br /> PERMIT NO: U2205-001 <br /> _UTILITIES _UTILITY BILLING Utilities Copy <br />