9912 HOLLY DR 2016-08-17 - Laserfiche WebLink

?a ALITIES PERMIT C#Y OF EVERETT PERMIT SERVICES 3200 CEDAR STREET EVERETT, WA 98201 (425) 257-8810 PERMIT NUMBER U1505-006 I DATE: j -- JOB ADDRESSq 4 12IOLLY DR LEGAL DESCRIPTION DESCRIPTION WATER & SYS DEV FEES FOR NEW SINGLE FAMILY DWEL APN: 28041300301000 OWNER A & V HOME IMPROVEMENTS LLC TENANT 506 46TH ST SE CONTRACTOR OWNER EVERETT WA 98203 tr7'7 c:.s C.a L`+"I G7 c':'a h•�• s ,1"'r a v.�•i S ;a^{ '.T`• �r c -J 1:.3'i `s n PHONE SIZE #1 BACKFLOW DEVICE SERIAL NO. PHONE WATER SERVICE SERVICE SIZE 3/4 SERVICE TYPE SFR FRONTAGE NO. OF UNITS I 1.00 SERVICE ORDER NO. I SO -13488 APPLICATION NO. I APP -18487 SETTER INSTALLATION DATE BY N.._� ;r .r;;'t •fa5tr7 l•_!•i C,,'t^tr7 {-..� F".7 t-” .. r•. •p�•:o- -. i".:} $ i'�} F'•...I Pw;;k �'::� +.Ci ;=- �: tS N-. ��'+ re•, f }i ��":x r'•..] SEWER IS IN MUKILTEO SEWER DISTRICT tr7'7 c:.s C.a L`+"I G7 c':'a h•�• s ,1"'r a v.�•i S ;a^{ '.T`• �r c -J 1:.3'i `s n METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. DATE:.,,_,. ;•. R.F. NO. #2 BACKFLOW DEVICE SERIAL NO. BRAND MODEL NO. METER ISTALLATIO14 DATE BY j� rn WATER ON OFF_ LOCKED OUT BY'1'$(} I REMARKS: NO SEWER CHARGED ON SYSTEM DEVELOPMENT ES•„�&495ITYS FT HW [LTi'() SI v I R t7PSTRIC"f rr SEWER SER E PERMIT NO. PERMIT TYPE NEW CQNNECTION LID NO. i.„!•7 �'d2 I.....c .,,1 F.i;:F yy_']. •':i:E •i:.f3 REMARKS: Please Note: The City is responsible for structural defects in the sio"er on the C!U 401Y`1 de per!ti1W,.,10�GjN N.._� ;r .r;;'t •fa5tr7 l•_!•i C,,'t^tr7 {-..� F".7 t-” .. r•. •p�•:o- -. i".:} $ i'�} F'•...I Pw;;k �'::� +.Ci ;=- �: tS N-. ��'+ re•, f }i ��":x r'•..] SEWER IS IN MUKILTEO SEWER DISTRICT tr7'7 c:.s C.a L`+"I G7 c':'a h•�• s ,1"'r a v.�•i S ;a^{ '.T`• �r c -J 1:.3'i `s n 4,: . ....,.s I�.� r..,.s +:'.=:t �v K.:.x K:C7 INSPECTED BY: - DATE:.,,_,. ;•. FEES System Development Fees $3,548.00 Water Utility Fee $2,394.00 TOTAL FEES $5,942.00 PERMIT NUMBER 01505-006 ADDRESS COPY