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LITIES 'y OF EVERETT <br /> PERMIT SERVICES <br /> '�'� PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1603-003 DATE 3---Z-1 <br /> 6 <br /> JOB ADDRESS 1204 I 18TH PL SE LEGAL DESCRIPTION <br /> DESCRIPTION SYSTEM DEVELOPMENT FEE APN. <br /> OWNER CANNATTA JOSEPH/FREDRICK J & E TENANT <br /> 1204 118TH PL SE CONTRACTOR <br /> EVERETT WA 98208 <br /> PHONE <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE <br /> I SERVICE TYPE <br /> I FRONTAGE NO OF UNITS <br /> 1.00 1 <br /> SERVICE ORDER NO APPLICATION NO <br /> I <br /> SETTER INSTALLATION DATE BY <br /> METER NO SIZE NI BACKFLOW DEVICE SERIAL NO <br /> R F NO 0 BACKFLOW DEVICE SERIAL NO <br /> BRAND MODEL NO <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY _ _ TSG ,l --1i <br /> 1?--i <br /> REMARKS CO —� <br /> CO1 1x:1 <br /> Z ll 1 11 <br /> m <br /> c: <br /> 'c a <br /> I SEWER SERVICE ,.--..-:" , I <br /> WA T I <br /> 'a C) <br /> PERMIT NO PERMIT TYPE LID NO <br /> Li <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0aay,ila-k� m <br /> ITT 1 L_Tl �. <br /> r_.1 L../ <br /> —'I1.4'F--' F—• <br /> .Y --.1'2•. .T. <br /> i70::.:';_>L', <br /> —IL-4 O] <br /> 'INSPECTED BY I DATE Cb <br /> F—`'.L} <br /> FEES <br /> Sys Dev Fee Outside City Surcharge $1,531.67 <br /> TOTAL FEES $1,531.67 <br /> PERMIT NUMBER U1603-003 <br /> ADDRESS COPY ` I 5 <br />