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mm1 <br /> "' UTILITIES CITY OF EVERETT <br /> E V E R E T PERMIT SERVICES <br /> WAS H I N G T O N PERMIT 3200 CEDAR STREET <br /> -7g C.�^q �i'� �- 7Wv1D EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U2112- DATE <br /> JOB ADDRESS 8102 EVERGREEN WAY BLDG E LEGAL DESCRIPTION <br /> DESCRIPTION INSTALL 4"DOM METER IN CONTRACTOR INSTALLED 4"1 APN: 28050700307000 <br /> OAR FOUR CORNERS MANAGER LLC TENANT FOUR CORNERS APTS-BLDG E <br /> 10900 NE 8TH ST STE 1200 CONTRACTOR HEARTLAND CONSTRUCTION LLC <br /> BELLEVUE WA 98004 10900 NE 8th St, Suite 1200 <br /> BELLEVUE WA 98004 <br /> PHONE 4254539551 O V0/` <br /> kzs ` 07 v PHONE 2062351317 <br /> 7- <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO - <br /> 4" MF 0.00 SO-14764 APP-19741 <br /> St I LEE INSTALLATION DATE .BY <br /> +21f� YSIZEN„ <br /> METER NO. #1 BACKFLOW DEVICE SFou7 NO. <br /> RF.NO. 52 BACKPLOW DEVICE SERIAL NO. . <br /> BRAND MODEL NO. <br /> 'METER ISTALLATION DATE t I- `-22_ BY Film— I /�� <br /> WATER ON 7L C <br /> OFF LOCKED OUT BY 1 MI TSG -` <br /> 4"DOMESTIC METER INSTALL 4"METER IN CONTRACTOR INSTALLED 4"D.I.PIPED THROUGH VAULT WITH BYPASS AFTER PURITY.THIS <br /> REMARKS' ESTIMATE IS FOR BUILDING E <br /> UN iiF 1 L..F 64 <br /> SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE WATER-COST ESTI 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: I DATE <br /> FEES ,, <br /> 1 WATER UTILITY FEE $8,103.00 a 3 UJ 6 <br /> DEC C 9 2021 U , <br /> CITY OF EVERETT <br /> Permit Services <br /> TOTAL FEES $8,103.00 <br /> IPERMIT NUMBER U2112-008 I <br /> UTILITIES COPY <br />