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UTILITIES <br />E � PERMIT <br />�p k I <br />�c�t-�5 �I G[2. C ��-� L,��M.�°-f-� � <br />PERMIT NUMBER U1506-035 <br />JOB ADDRESS 3012 92ND PL SE <br />D�sc�zi�T�oN WSTALL WATER METER <br />owNca BAERG AL & SUE <br />2833 92ND PL SE <br />EVERETT WA 98208 <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 C�DAR STREET <br />EVERE"I'T, WA 98201 <br />(425) 257-8810 <br />DATE: (Ig�2O 1 S <br />LEGAI. DESCRIPTION <br />� ��'N 00632900001700 <br />TGNANT <br />CONTRAC"I'OR CITY OF EVERETT <br />3200 CEDAR ST <br />EVERETT WA 98201 <br />PI IONL' <br />PHONG <br />WATER SERVICE <br />SGNVICE SIZE I SLRVICH TYPH I FRONTAGE I NO. OF O OO I SBRVICE OHDER NO- I APPLICATION NO. <br />SLTTEft INSTALLATION DATE <br />METER NO. <br />R.F. NO- <br />METERISTALLATION DATE BY <br />WATGR ON _ OI•T _ LOCKED OUT I3Y <br />KEMARKS. <br />PGRMI'I' NO <br />KCMARKS: <br />INSPECTEUI3Y: <br />�Y <br />#1 BACKFLOW DEVICE SERIAL NO. <br />H2 BACKFLOW DE VICE SERIAL NO._ <br />MODLL NO. <br />SCWER SERVICE <br />TSG <br />SP-16132 PC•RMITTYPE I LIDNO <br />Plcase Note: The City is responsible for structural defects in the side sewer on the City ROW side per CMC 14.08.260 <br />DATE: <br />FEES <br />Water i Jtilitv Pee $2.992.50 I <br />TO'1'AL FI.LS <br />$2,992.50 <br />P�RM1T NUMI3ER <br />� � � � � <br />JUN p 8 2015 <br />..� <br />_ _ 'y p, ,�; , ` <br />°e,n:_ :R-_. � <br />U1506-035 <br />PUBLIC WORKS COPY <br />