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® UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PENT <br /> 3200 CEDAR STREET <br /> ) �oo EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMITNUMBER U2108-025 DATE 8/11/2021 <br /> JOB ADDRESS 1001 N BROADWAY LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"DETECT METER ONLY FOR 6"FIRE SVC/BACKFLOW L APN: <br /> 29051700200100 <br /> OWNER EVERETT COMMUNITY COLLEGE TENANT GSF LEARNING RESOURCE CENTER <br /> 2000 TOWER ST <br /> EVERETT WA CONTRACTOR M A MORTENSON COMPANY <br /> ATTN: LEGAL <br /> PHONE <br /> MINNEAPOLIS MN 55422 <br /> (� 2, <br /> ✓ �� PHONE 7635222100 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDERNO APPLICATION NO <br /> 61 FIRE 0.00 <br /> SO 14724 APP-19703 <br /> SETTER INSTP'• 1— BY /J RUNT IIM11111111111 / <br /> METER NO., 1563464536 SIZE NI BACKFLOW DEVICE SERIALNO. <br /> RA NO._„ M2 BACKFLOW DEVICE SERIAL NO. <br /> 346lEnliiln S BRAND_ �56345¢536 MODEL N0. <br /> METER ISTALLATTON DATE �S BY � C- <br /> WATERONX OFF_ LOCKEDOUT BY 129 a T,SG <br /> 3/4"DETECT METER ONLY FOR 6"FIRE SVC/BACKFLOW DCDA <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE WATER-IRRIGATIC 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 /> INSPECTEDBY, I DATE <br /> FEES 1 <br /> PLUMBING FEES $35.00 <br /> WATER UTILITY FEE $540,00 AUG <br /> 2021 <br /> 'CITY OF EVERETT <br /> Permit Servicq$ <br /> TOTAL FEES $575.00 <br /> PERMIT NUMBER U2108-025 <br /> UTILITIES COPY <br />