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a � <br /> -' UTILITIES CITY OF EVERETT <br /> VE R E T T PERMIT PERMIT SERVICES <br /> WASHINGT:ON �j 3200 CEDAR STREET EVERETT,WA 98201 <br /> g0y✓ (425)257-8810 <br /> Online Inspection Request:oniinegermits everettwo poy <br /> PERMIT NUMBER: U2401-010 <br /> JOBADDRESS: 991418TH AVE W UNIT D ISSUED DATE: <br /> LEGALDESCR: <br /> DESCRIPTION: 1"DOM/FIRE METER ONLY/SYSTEM DEVELOPMENT FEES <br /> OWNER: PACIFIC RIDGE-DRH LLC APN: 00480600102000 <br /> TENANT: <br /> 17921 BOTHELL EVERETT HWY STE 100 CONTRACTOR: PACIFIC RIDGE-DRH LLC <br /> BOTHELL WA 98012 <br /> 17921 BOTHELL EVERETT HWY STE 100 <br /> PHONE: I J ���0 BOTHELL WA 98012 <br /> O PHONE' (425)438-2945 <br /> WATER SERVICE 0 <br /> :�f= <br /> EFRONTAGE NO OF UNITS SERVICE ORDER N0. E::;P:LICAN NO. <br /> SETTER INSTALLATION DATE <br /> 0 SO-15195 150 <br /> BY <br /> METER ND SIZE_ } L <br /> R.F.NO. <br /> i11 BACKFLOW DEVICE SERIAL NO. <br /> BRAND t12 BACKFLOW DEVICE SERIAL NO. <br /> p y.•OJb,I L_ <br /> � MODEL NO. <br /> METER ISTALLATION DATE_(QL'!— BY�^�� <br /> WATER ON .OFF_ LOCKED`OUT <br /> -- BY ` � <br /> REMARKS: 1"DOM/FIRE METER ONLY/ DEVELOPMENT FEES TSG <br /> SEWER SERVICE <br /> SEWER PERMIT NO. <br /> PERMITTYPE WATER AND SIDE SEWER WORK LID NO.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 /> DATE: <br /> FEES <br /> SYSTEM DEVELOPMENT FEE WATER <br /> $4,577.00 <br /> WATER UTILITY FEE <br /> $674.00 U7= <br /> JAN 17 2024 <br /> TOTAL FEES $5,251.00 CITY OF EVEREE 1 Y <br /> Per expire if work is not commenced within 180 days or ceases for more than 180 days. PC mit Service <br /> ;e <br /> PERMIT NO: U2401-010 <br /> _UTILITIES LITY BILLING <br /> Utilities Copy <br />