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��� <br />r���� <br />�'ILITIES <br />PERMIT <br />TY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1607-047 I DATE: `7_ZS �(, <br />JOB ADDRESS 11621 7TH AVE SE LEGAL DESCRIPTION <br />DEscxirT►orr NEW SEWER CONNECTION OUTSIDE CITY LIMITS & SYST ArN: 00573700005200 <br />owrrER DE LA LUZ GARCIA MARIA TENAN•r <br />11621 7TH AVE SE CONTRACTOR SERIES SEVEN INC <br />EVERETT WA 98208 <br />PO BOX 1179 <br />LAKE STEVENS WA 98258 <br />PHONE <br />� � PHON� 4253977771 � <br />WATER SERVICE <br />SERVICE S]ZE I SERVICE TYPE FRONTAGH NO. OF UNITS SERVICE ORDER NO. APPLICATION NO. <br />I �.Q� I I <br />SLTTER MSTALLATION DATE <br />IvfETEA NO. <br />R.F. NO. <br />6RAND <br />METER ISTALLATION DAlE gy <br />WATER ON _ OFF _ LOCKED OUT gy <br />REMARKS: <br />I #(BACKFLOW DEVICE SGRIALNO. <br />#2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />.......' .,..; <br />�..,.: �_ �_�::� <br />TSG -:;-; „ � ; , <br />: , <br />_ <br />_ ...:. �. .:. .':.' <br />' ��ti ��. �::I <br />��� �i <br />�5 --1 U.) l'YJ C.r] <br />�n 'd I—' _t. _•,:- IT} :�_ <br />:.I:;� �'�:5 f:i:5 •I __ i'::;t <br />, � �.,...� <br />�� <br />r:._.: i:::':::� ic:::? ;7+::7 I� <br />PER""T"o SP-16764 PGRMITTYPH NEW CONNECTION I LIDNO. <br />ti� <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per <br />NEW SIDE SEWER CONN�CTION, OUTSIDE CITY LIMITS <br />INSPECTED BY: <br />SEWER UTILITY FEE <br />SYS DEV FEE OUTS[DE CITY SURCH. <br />SYSTEM DEVELOPMENT FEES <br />'I'OTAL FEES <br />$70.00 <br />$1,193.25 <br />$4,773.00 <br />$6,036.25 <br />DATE: <br />;';^a , :; <br />l�,t ..-,. - ` <br />..: `, 'i:... ".'_.' —i._.'.: <br />vi��d.��i�� ��:a;. _ <br />e_,.a �...� .�::, __a <br />: 5 �`� [�^.I CF.� L> <br />� � . _ p.... <br />('+.7 �� �±�� ' 1 f'�!;� � _ Y � . <br />t_:i " .:. . ..,... ry � <br />i.-':} � � �:..'�1 <br />..... �..._� <br />_.....� ,,, .. <br />PERMIT NUMBER U1607-047 <br />ADDR�;SS COPY <br />