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N.= (STY OF EVERETT <br /> ILITIES <br /> EVERETT PERMIT SERVICES <br /> WASH I NOTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2111-055 DATE <br /> JOB ADDRESS 4920 24TH AVE W LEGAL DESCRIPTION <br /> DESCRIPTION NEW CONNECTION TO SEWER+ 1 CONNECTION TO BLDG APN: <br /> OWNER 4900 24TH AVE W LLC TENANT LOT 2 <br /> 526 N WEST AVE#147 CONTRACTOR FULLWILER CONSTRUCTION INC <br /> ARLINGTON WA 98223 526 N WEST AVENUE,PMB 147 <br /> ARLINGTON WA 98223 <br /> PHONE 3606315922 <br /> PHONE 3606315922 <br /> WATER SERVICE <br /> SERVICE SIZE 1 SERVICE TYPE 1 FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 1" DOM/FI 0.00 SO-14779 APP-19756 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO #2 BACKFLOW DEVICE SERIAL <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATII BY <br /> WATER ON OFF_ LOCKED OUT BY TSG <br /> 2"WATER SERVICE LINE BEHIND EXTG 2"METER-WILL BE CHANGED TO A 1"METER <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. <br /> SP-18725 P " WATER&SIDE SEW I LIDNO. <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 /> CONNECTION TO EXTG STUB <br /> • <br /> IINSPECTED BY: DATE <br /> FEES , <br /> PLUMBING FEES $35.00 lff <br /> SEWER UTILITY FEE $70.00 MAR 1 20 <br /> C ?1 <br /> ITyOF <br /> Permit SeVERETr <br /> ry ces <br /> TOTAL FEES $105.00 <br /> PERMIT NUMBER U2111-055 <br /> ADDRESS COPY <br />