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�g3(,gV <br /> UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT PERMIT SERVICES <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON 3Oci (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwo.pov <br /> PERMIT NUMBER: U2401-012 ISSUED DATE: <br /> JOBADDRESS: 991418TH AVE W UNIT F LEGALDESCR: <br /> DESCRIPTION: 1" DOM/FIRE METER ONLY/SYSTEM DEVELOPMENT FEES --FAIN: 00480600102000 <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 /> 75Z9 BOTHELL WA 98012 <br /> PHONE: Is ct PHONE: (425)438-2945 <br /> WATER SERVICE <br /> SERVICESIZE SERVICE TYPE FRONTAGE NOOFUNITS SERVICE ORDER NO. APPLICATION NO, <br /> 1" DOM/FI 0 SO-15197 APP-20152 <br /> SETTER INSTALLATION DATE_ BY <br /> METEII SIZE ``\ #1 BACKFLOW DEVICE SERIAL NO. <br /> 1579539340 <br /> R.F.NO._ N2 BACK FLOW DEVICE SERIAL NO. <br /> BRAND_ NIII Ill IIIII fill IIIIIII1Ill L ��� i MODEL NO. <br /> 1579539340 i�7'`{ <br /> 1 METER ISTALLATION DATE b I 1!. BY <br /> WATER ON /OFF LOCKED OUT BY TSG <br /> REMARKS: 1"DOM/FIRE METER ONLY/SYSTEM DEVELOPMENT FEES <br /> SEWER SERVICE <br /> SEWER PERMIT NO. PERMITTYPE WATER AND SIDE SEWER WORK 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: DATE: <br /> FEES <br /> SYSTEM DEVELOPMENT FEE WATER $4,577.00 <br /> WATER UTILITY FEE $674.00 <br /> JAN 17 207-4 <br /> CITY OF Z4 VF,R'ZTT <br /> TOTAL FEES $5,251.00 Permit SO°i"Vk; 3 <br /> Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br /> PERMIT NO: U2401-012 <br /> _UTILITIES TILITYBILLING Utilities Copy <br />