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�ga4002Y <br />UTILITIES <br />EVERETT PERMIT <br />WASHINGTON � Rd S 1 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425) 257-8810 <br />Online Insoection Reauest: onlinenermits. everettwo.cov <br />PERMIT NUMBER: U2405-029 <br />ISSUED DATE: <br />JOBADDRESS: 9540 HOLLY DR <br />LEGALDESCR: <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 />` <br />MARYS WA 98270 <br />PHONE: / � I/ CQ (� �' <br />PHONE; (425)876_6551 <br />WATER SERVICE Lo -� <br />SERVICE SIZE SERVICETYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. I APPLICATION NO. <br />1" SFR 0 SO-15288 APP-20243 <br />SETTER INSTAI I ATInN DATE _ BY <br />- <br />METER <br />METER n 1578172622 <br />SIZE <br />Nl BACKFLOW DEVICE SERIAL <br />R.F. NO._ I €12 BACKFLOW DEVICE SERIAL <br />BRAND_ III II III III all IIII)III 11111 N- 01('A RQ <br />1578172622 2 - (+�� MODEL No. <br />METER ISTALLATION DATE BY Q-Vl/ <br />WATER ON _ OFF LOCKEDOUT BY <br />REMARKS: 1" METER ONLY PLUS SYSTEM DEVELOPMENT FEES, 1" WATER SERVICE LINE BEHIND METER <br />SEWER SERVICE <br />TSG <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 $7,644.00 <br />WATER UTILITY FEE $721.00 <br />WATER SERVICE BEHIND METER (PW INSP) $35.00 <br />MAY 13 2024 <br />CITY OF EVERETT <br />Permit Services <br />TOTAL FEES $8,400,00 <br />Permits expire it work is not commenced within 180 days or ceases for more than 180 days. <br />PERMIT NO: U2405-029 <br />UTILITIES _UTILITY BILLING <br />Utilities Copy <br />