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" � �"'- "-Imm- j <br />UTILITIES <br />PERMIT <br />Sp <br />! 2G 2. 2011-OP 3 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1306-005 <br />I <br />DATE: — <br />JOB ADDRESS <br />6224 lid r R GS <br />LEGAL DESCRIPTION <br />DESCRIPTION <br />WATER SERVICE FOR LOT 2 <br />APN: 00612000001600 <br />OWNER <br />IAZEOLLA-BIRKLID ANGLIE <br />TENANT <br />6224 MELROSE AVE <br />CONTRACTOR <br />EVERETT WA 98203 <br />PHONE <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE NO, OF UNITS SERVICE ORDER NO. APPLICATION NO. <br />3/4 % Q SFR /��/ 1 1.00 SO-13201 APP-18203 <br />SETTER INSTALLATION DATE <br />?I ^%� y ` BY ^/ � `//Ji y�/ t q 6 4 <br />METER NO. 1 �i I I J I / SIZE /�U �` �/ BACKFLOW DEVICE SERIAL NO <br />13 y s5'6.3&� <br />BRAND U I' -7y �J �[ + • {� / J )�/�/ %jJ MODEL NO. <br />METER ISTALLATION DATE 12- I ✓ - /J BY w Dom^' / 6 �( <br />-r•� <br />�% � / L nti= <br />WATER ON _, j� OFF _ LOCKED OUT BY :^' � <br />I� TSG <br />REMARKS: -_ <br />n=1 <br />SEWER SERVICE <br />PERMIT NO. PERMTT TYPE LID NO. <br />9 •^ <br />r <br />REMARKS. +. <br />INSPECTED BY. DATE. 7 r- <br />-! ..1 I- - <br />FEES <br />Water Utility Fee $2,170.00 <br />TOTAL FEES $2,170.00 <br />TO POSTING ��ul <br />PERMIT NUMBER U1306-005 <br />UTILITIES COPY <br />