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4r 7�y <br />EVERETT <br />WNSHINGTON i <br />UTILITIES <br />PERMuT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />(425) 257-8810 <br />Online Inspection Request: onlinepermiits.everettwa.gov <br />SERVICE SIZE <br />SERVICE TYPE <br />FRONTAGE <br />G <br />6:0 <br />NO OF UNITS <br />1 <br />SETTER INSTAI I ATm nATF BY �j <br />METER Ni <br />III II IIIIII I III I III II III III II SIZE <br />#1 BACKFLOW DEVICE SERIAL NO. <br />1577509982 <br />R.F. NO. <br />#2 BACKFLOW DEVICE SERIAL NO._ <br />BRAN°_ <br />III IIIIIIII I III I III II III III II v <br />1577509982 <br />MODEL NO. <br />S 'Oio) BY, <br />METER ISTALLATION <br />DATE <br />WATER ON <br />OFF —;4— LOCKED OUT BY <br />REMARKS: <br />TSG <br />SERVICE ORDER NO. APPLICATION NO. <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 SEWER $5,580.00 <br />1 �� J� l _ iti •I h � `V <br />SYSTEM DEVELOPMENT FEE WATER $4,311.00 <br />WATER UTILITY FEE $674.00 <br />SEWER UTILITY FEE $70.0013 <br />qbJ ,s <br />r 1 <br />TOTAL FEES $10,635.00 <br />Permits expire if work is not commenced within 180 days or ceases for more than Ibu clays. <br />PERMIT NO: U2310-047 <br />UTILITIES � ITY BILLING Utilities Copy <br />7 <br />