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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425)257-8810 <br />PERMIT NUMBER U1502-042 <br />DATE: <br />JOB ADDRESS <br />7515 BROADWAY <br />LEGAL DESCRIPTION <br />DESCRIPTION <br />2" TAP & CONNECTION ON CONTRACTOR INSTALLED PIP: <br />APN: 28050800204700 <br />OWNER <br />SOME BUILDERS INC <br />TENANT <br />142 TWIN VIEW DR <br />SEQUIM WA 98382 <br />CONTRACTOR <br />PHONE <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE NO. OF UNITS SERVICE ORDER NO. APPLICATION NO. <br />0.00 I SO-13425 I APP-18425 <br />SETTER INSTALLATION DATE BY <br />METER NO. SIZE_ <br />R.F. NO. <br />METER ISTALLATION DATE BY <br />WATERON_ OFF_ LOCKEDOUT BY <br />REMARKS: COST ESTIMATE <br />#1 BACKFLOW DEVICE SERIAL NO. <br />#2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />PERMIT NO. PERMIT TYPE NEW CONNECTION 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 />J I / �/ ) <br />INSPECTED BY: DATE: to <br />Ica \ <br />FEES <br />Water Utility Fee $1,121.00 U L <br />...� <br />FEB 1 2 2015 �... <br />v 01 <br />TOTAL FEES $1,121.00 +<_viac3 <br />PERMIT NUMBER U1502-042 <br />PUBLIC WORKS COPY <br />