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UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT PERMIT SERVICES <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON 0�S0 (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwo.aov <br /> PERMIT NUMBER: U2312-024 ISSUED DATE: <br /> JOBADDRESS: 1831100TH STSW UNIT LEGALDESCR: I <br /> DESCRIPTION: 1" DOM/FIRE METER ONLY/SYSTEM DEVELOPMENT FEES APN: 00480600102104 <br /> OWNER: PACIFIC RIDGE-DRH LLC TENANT: <br /> 17921 BOTHELL EVERETT HWY STE 100 CONTRACTOR: PACIFIC RIDGE-DRH LLC <br /> BOTHELL WA 98012 17921 BOTHELL EVERETT HWY STE 100 <br /> 3�3g2 BOTHELL WA 98012 <br /> PHONE: G 15 m /d 5� PHONE: (425)438-2945 <br /> WATER SERVICE EZ re, <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 1" DOM/FI 0 SO-15172 APP-20128 <br /> SETTER INSTALLATION DATE BY <br /> METERNO._ 11i 111'l ll"'lll�ll�l�l�ll� SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 1578160054 <br /> 578160054 #Z BACKFLO W DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE �� BYIr� / <br /> WATERON OFF_ LOCKEDOUT BY TSG <br /> REMARKS: 1"DOM/FIRE METER ONLY/ DEVELOPMENT FEES <br /> SEWER SERVICE <br /> SEWER PERMIT NO. PERMITTYPE WATER-DOMESTIC METER ONLY LID N0. <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: DATE: <br /> FEES <br /> ,a <br /> SYSTEM DEVELOPMENT FEE WATER $4,311.00 r g. <br /> WATER UTILITY FEE $674.00 <br /> DEC I 1 111, <br /> CITY OF TE-11EARIE TT <br /> TOTAL FEES $4,985.00 Permit Services <br /> Permits expire if work is not commenced within 180 days Or ceases for more than 180 days. <br /> PERMIT NO: U2312-024 <br /> UTILITIES /TI'LITY BILLING <br /> Utilities Copy <br />