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C'Y OF EVERETT <br /> IIIILITIES <br /> PERMIT SERVICES <br /> ,4140 77" PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1505-045 DATE: <br /> JOB ADDRESS 1026 LOMBARD AVE LEGAL DESCRIPTION <br /> DESCRIPTION SYS DEV FEES FOR DUPLEX CONVERSION APN: 29051700207100 <br /> OWNER MCCORMACK REBECCA TENANT <br /> 1026 LOMBARD AVE CONTRACTOR <br /> EVERETT WA 98201 <br /> PHONE <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE WON I A(II. NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 2.00 <br /> SE I I ER INSTALLATION DATE BY <br /> METER NO. _SIZE Si BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> iTF1 <br /> WATER ON OFF LOCKED OUT BY TSG <br /> C <br /> REMARKS: <br /> r")*.=!Cf:)72 722 -.4:0;i2 72 cr2 <br /> r.21 • <br /> SEWER SERVICE m <br /> PEEWIT NO. PERMIT TYPE DEV FED I ID NO. <br /> 0. <br /> REMARKS: Please Note:The City is responsible for structural defects in the siiiii:s6er on the City ROW side per EMC 14.08.26V <br /> K!.;r 2 re;P.S <br /> p D p r:21 <br /> rF..=.-" i53 8'8 <br /> !,71 <br /> INSPECTED BY: DATE: r. <br /> FEES <br /> System Development Fees $5,182.00 <br /> TOTAL FEES $5,182.00 <br /> PERMIT NUMBER U1505-045 <br /> ADDRESS COPY <br />