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7 <br />ti <br />EVERETT <br />WASHINGTON_j� 011277V1 <br />UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425) 257-8810 <br />Online Inspection Request: onlineoermits.everettwo.00v <br />PERMIT NUMBER: U2103-047 <br />DATE: 3/31j2021 <br />JOB ADDRESS: 2725 15TH ST BLDG B <br />LEGAL DESCR: <br />DESCRIPTION: NEW SEWER/ 2" METER ONLY/ WATER AND SEWER SYSTEM DEV FEES <br />APN: 00386200100000 <br />OWNER: HOUSING AUTHORITY OF EVERETT <br />TENANT: BAKER HEIGHTS LEGACY <br />PO BOX 1547 <br />CONTRACTOR: C D K CONST SERVICES INC <br />EVERETT WA 98206-1547 <br />PO BOX1767 <br />QDIV <br />DUVALL WA 98019 <br />PHONE: (425)303-1142 Se D <br />�) <br />PHONE: (425)788-8441 <br />v <br />WATER SERVICE <br />SERVICE SIZE SERVICE E FRONTAGE NO OF UNITS SERVICE ORDER NO, APPLICATION NO. <br />2" M�% 0 SO-14672 APP-19653 <br />SETTER INSTALLATION DATE <br />METER NO. III 11111111011111111111 <br />1573456092 <br />R.F. NO. _. --- _. <br />SIZE #1 BACKFLOW DEVICE SERIAL NO. <br />42 BACKFLO W DEVICE SERIAL NO.- <br />MODEL <br />�% ?/-{{ jn[ MODEL NO. <br />METER ISTALLATION DATE t+-Z3 - ZZ BY t'7y <br />WATER ON _ OFF_ LOCKED OUT BY TSG <br />REMARKS: NEW SEWER CONNECTION AND 2 CONNECTIONS TO BLDG/ 2" METER ONLY/ WATER AND SEWER SYSTEM DEV FEES <br />SEWER SERVICE <br />SEWERPERMITNO. SP-18554 PERMITTYPE LID NO. <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.09.260 <br />NEW SEWER CONNECTION AND 2 CONNECTIONS TO BLDG <br />INSPECTED BY: DATE: <br />FEES <br />WATER UTILITY FEE $1,115.00 <br />SYSTEM DEVELOPMENT FEE SEWER $487.98 <br />SYSTEM DEVELOPMENT FEE WATER $377.10 <br />SEWER UTILITY FEE $80.00 <br />TOTAL FEES $2,060.08 <br />Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT NO: U2103-047 <br />UTILITIES UTILITY BILLING <br />— — Utilities Copy <br />