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e"n�-.ddim <br />U�LITIES <br />PERMIT <br />C[:]Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1409-029 <br />DATE: <br />JOB ADDRESS <br />Z4,3 115TH ST SE <br />LEGAL DESCRIPTION <br />DESCRIPTION <br />2" TAP & CONNECTION CONNECT TO CONTRACTOR INST, <br />APN. 00573600002400 <br />OWNER <br />HARVEY LANCE <br />TENANT <br />10325 AIRPORT WAY <br />CONTRACTOR <br />SNOHOMISH WA 98290 <br />PHONE <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE NO. OF UNITS I SERVICE ORDER NO. I APPLICATION NO. <br />0.00 <br />SETTER INSTALLATION DATE BY <br />METER NO. SIZE_ <br />BACKFLOW DEVICE SERIAL NO <br />I MODEL NO. <br />METER ISTALLATION DATE BY <br />WATER ON OFF LOCKED OUT BY <br />REMARKS: CONTRACTOR TO EXCAVATE, SHORE AND RESTORE. <br />COST OF WORK ORDER. <br />TSG <br />M <br />T <br />- <br />•;.n t•-r <br />I SEWER SERVICE try i i` 1 <br />I <br />I <br />PERMIT NO. PERMIT TYPE LID NO. i_.r_ •-"• <br />U3• -ei -m <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0 .2(0+ !.; ` <br />INSPECTED BY: I DATE: <br />L. 1�.. <br />FEES <br />Water Utility Fee $1,184.00 <br />TOTAL FEES $1,184.00 <br />PERMIT NUMBER U1409-029 <br />ADDRESS COPY <br />