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4� _7939Dt4-5 <br />UTILITIES <br />EVERETT <br />WASHINGTON PERMIT <br />00.+. 20z.?,n/_ �, TR1(. 2D?7h9G q 5�;n xOTea <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U2201-029 <br />DATE <br />JOB ADDRESS 10312 EVERGREEN WAY <br />LEGAL DESCRIPTION <br />DESCRIPTION NEW 1" DOM METER COMP SERVICE W/ RPBA, 1" IRRIGAn <br />APN: 00535200001001 <br />OWNER S R KLEIN FISH -ON INVESTMENTS LLC <br />TENANT SONIC DRIVE-IN <br />PO BOX 3830 <br />CONTRACTOR KUGEL CONSTRUCTION <br />EVERETT WA 98213 <br />PO BOX 1271 <br />CHEHALIS WA 98532 <br />PHONE <br />PHONE 3607404305 <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE NO. OF UMTS SERVICE ORDER NQ APPLICATION NO <br />1" COM 0.00 SO-14783 APP-19760 <br />SETTER INSTALLATION DATE - 1 Z BY 5� 1 ` Tr c �j = - Lilt Gly <br /><< J ( 1572280612 <br />METER NO. 7, 25 "�1j� n � SIZE <br />MI HACKFLOW DEVICE SERIALNO. <br />RF. N0. L'L O O 14 8 <br />M2 BACKFLOW DEVICE SERIAL. NO. <br />BRAND kj tAr`C. <br />MODE, NO. <br />ME -MR '�vHY ETE <br />WATERON?(%_OFF_ LOCKED OUT BY <br />T'SG <br />NEW I" DOM METER COMPLETE SERVICE W/ RPBA BACKFLOW, I" IRRIGATION COMPLETE SERVICE W/ DCDA BACKFLOW <br />PERMIT NO. SP-18748 <br />SEWER SERVICE <br />PERMIT TYPE WATER & SIDE SEW I LID NO. <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 />'VEW CONNECTION TO MAIN PLUS 3 CONNECTIONS TO BUILDING <br />INSPECTED BY: <br />FEES <br />DATE <br />PLUMBING FEES $45.00 9OUE <br />SEWER UTILITY FEE $70.00 <br />SYSTEM DEVELOPMENT FEE SEWEF $3,738.00 <br />SYSTEM DEVELOPMENT FEE WATEF $7,200.00 MAR 3 0 2022 <br />SYSTEM DEVELOPMENT FEE WATEF $2,889.00 0 <br />W AI -cv M I (N fie& Mo ." CITY OF .E VIRETT <br />TOTAL FEES $20,462.00 <br />Permit Services <br />PERMIT NUMBER U2201-029 <br />UTILITIES COPY <br />