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I= UTILITIES <br /> Nom CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WA S H I N G T O N PERMIT 3200 CEDAR STREET <br /> 2:7 s/0 0 .4 3,46� ,\ EVE(RETT257 8810 01 <br /> 1 4.:t .....) <br /> PERMIT NUMBER U2201-008 DATE <br /> JOB ADDRESS 4920 24TH AVE W LEGAL DESCRIPTION <br /> DESCRIPTION MODIFY EXTG SERVICE FROM 2"TO 1" APN: 00567900400402 <br /> OWNER 4900 24TH AVE W LLC TENANT <br /> 4900 24TH AVE W CONTRACTOR <br /> EVERETT WA 98203 FULLWILER CONSTRUCTION INC <br /> 526 N WEST AVENUE,PMB 147 <br /> ARLINGTON WA 98223 <br /> PHONE // <br /> f/'{� /D_j7 -D`7 95 PHONE 3606315922 <br /> ` WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NQ APPLICATION NO <br /> 1" DOM/FI 0.00 SO-14776 APP-19753 <br /> SETTER INSTALLATION DATE BY <br /> METER NO.(5 7`r� /7 9 ✓9`�n SIZE ) 'l MI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF_ LOCKED OUT BY f✓� TSG <br /> MODIFY EXTG SERVICE FROM 2"TO 1.CITY/ W TO RE OVE EXTG 2"METER AND SETTER THEN INSTALL 1"SETTER AND METER.CITY WILL <br /> AR REMKS: RESUE EXTG METER BOX.THIS ESTIMATE I FOR LOT#2 <br /> SEWER SERVICE I <br /> PERMIT NO. PERMIT TYPE WATER-COST ESTI 1 <br /> 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 /> INSPECTED BY: <br /> I DATE <br /> FEES I <br /> COST ESTIMATE $880.00 g V u <br /> SYSTEM DEVELOPMENT FEE SEWEE $5,580.00 <br /> SYSTEM DEVELOPMENT FEE WATEF $4,311.00 MAR l 110 <br /> C Z? <br /> j <br /> TY 0F <br /> Permit eE V./ERE <br /> ARE1.,T <br /> TOTAL FEES $10,771.00 `Jeri/ices <br /> PERMIT NUMBER U2201-008 <br /> UTILITY BILLING COPY <br />