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0 0 <br /> 1 <br /> EVERETT PUBLIC WORKS REQUEST <br /> ILI WAS H I N GTO N FOR WATER DEPARTMENT COST ESTIMATE <br /> (ATTACH 1 WATER PLAN FOR REFERENCE) Date Request Sent: 5/3/2022 <br /> Associated Permit#: K2204-005 <br /> PROJECT ADDRESS: 2216 127TH PL SE <br /> DESCRIPTION OF WORK: NEW FIRE SPRINKLER SYSTEM IN AN EXTG ADULT FAMILY HOME <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: TEMPERLY BRIAN&BROUTZAKIS NAME: [AppName] <br /> ROSA ADDRESS: ADDRESS: [AppAdd] <br /> 2216 127TH PL SE [AppCi], [AppSt], [AppZip] <br /> EVERETT,WA, PHONE: [AppPhone] <br /> PHONE: EMAIL: [AppEmail] <br /> EMAIL: <br /> CONTRACTOR: CONTACT: ❑ Owner, 0 Applicant,,Other <br /> NAME: M FIRE PROTECTION SYSTEM LLC NAME: BYRON BORALES <br /> ADDRESS: 20607 94TH AVE E PHONE: 2533159266 <br /> GRAHAM,WA,98338 EMAIL: <br /> PHONE: 2533159266 BYRON.M@MFIREPROTECTIONSYSTEM.COM <br /> EMAIL: <br /> BYRON.M@MFIREPROTECTIONSYSTEM.COM <br /> REQUEST FROM PUBLIC WORKS REVIEWER: <br /> COST ESTIMATE REQUESTED BY: I 'A M 44t.w'P4. <br /> COST ESTIMATE REQUESTED FOR: <br /> FcITY CREWS TO MAKE NEW CONNECTION TO MAIN <br /> • #OF CONNECTIONS NEEDED: <br /> • TYPE OF CONNECTION: "SiW44-+G U/'73'Li Fo t- .n.G S-fra•P►+c- -d <br /> • SIZE OF CONNECTION: I ti <br /> • SIZE OF MAIN: a <br /> ❑ CITY CREWS TO INSTALL PIPE FROM MAIN TO BACK SIDE OF METER <br /> • EXCAVATE,SHORE,AND RESTORE BY: ❑ CONTRACTOR, 0 CITY CREWS <br /> • TRAFFIC CONTROL BY: 0 CONTRACTOR, 0 CITY CREWS <br /> • INSTALLATION AND PIPE THROUGH VAULT BY: 0 CONTRACTOR, 0 CITY CREWS <br /> OTHER DESCRIPTION OR REQUEST: <br /> 7* C C-c3"" <br /> 5/,5/?-o2Z <br /> REVISED 2/24/2016 / <br />