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9536 HOLLY DR 2025-07-10
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9536 HOLLY DR 2025-07-10
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Last modified
7/10/2025 2:59:45 PM
Creation date
5/23/2025 3:17:56 PM
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Address Document
Street Name
HOLLY DR
Street Number
9536
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i UTILITIES <br />EVERETT PERMIT <br />W.ASHINGTON � ,j0J7 G <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425) 257-8810 <br />Online Inspection Request: onlinepermits.eyerettwo.goy <br />PERMIT NUMBER: U2405.-022 <br />ISSUED DATE: <br />JOB ADDRESS: 9536 HOLLY DR <br />LEGAL DESCR: <br />DESCRIPTION: 1" METER ONLY PLUS WATER SYSTEM DEV FEES, WATER SERVICE LINE <br />APN: 00378700200600 <br />OWNER: BUSTARD CUSTOM CONSTRUCTION INC <br />TENANT: <br />13016 107TH ST NE <br />CONTRACTOR: BUSTARD CUSTOM CONST INC <br />LAKE STEVENS WA 98258 <br />PO BOX 1243 <br />MARYS WA 98270 <br />/' <br />PHONE; G IeS lI �j� 7j{!% <br />PHONE: (425)876-6551 <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br />1" SFR 0 SO-15282 APP-20237 <br />SETTER INSTALLATION DATE BY <br />METER N III"1111111111111111111111 Ii SIZE 111 #1 BACKFLOW DEVICE SERIAL NO. <br />1578107482 <br />R.F. NO._ #2 BACKFLOW DEVICE SERIAL NO. <br />BRAND III III I111111 1111Ill t N'-D re MODEL NO. <br />— 1578107482 ((�� 1 <br />METER ISTALLATION DATE C1 -L— BY ZL <br />WATER ON _ OFF. LOCKED OUT BY TSG <br />REMARKS: 1" METER ONLY PLYUS WATER SYSTEM DEVELOPMENT FEES, 1" WATER SERVICE LINE BEHIND METER <br />SEWER SERVICE <br />SEWER PERMIT NO, PERMITTYPE WATER - DOMESTIC METER ONLY 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 />MWWD <br />INSPECTED BY: DATE: <br />FEES <br />SYSTEM DEVELOPMENT FEE WATER <br />WATER UTILITY FEE <br />WATER SERVICE BEHIND METER (PW INSP) <br />$7,644.00 <br />$721.00 <br />$35.00 <br />TOTAL FEES $8,400.00 <br />�"�IDMAY 13 2024 <br />CITY OF EVERETT <br />Permit Services <br />Permits expire if work is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT NO: U2405-022 <br />UTILITIES UTILITY BILLING Utilities Copy <br />
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