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'ILITIES ViTY OF EVERETT <br /> diS <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1608-058 DATE: 08/18/2016 <br /> JOB ADDRESS 1522 126TH ST SE LEGAL DESCRIPTION RD 135FT TH SON LN PLW W LN <br /> DESCRIPTION SEPTIC TANK TO SEWER CONVERSION APN: 28053000401800 <br /> OWNER CLAUDIO ERIBERTO S&HERMINIA TENANT <br /> 1522 126TH ST SE CONTRACTOR HOLMSTADS PLUMBING INC <br /> EVERETT WA 98208-6564 PO BOX 5635 <br /> EVERETT WA 98206 <br /> PHONE <br /> PHONE ' 4252599131 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. I APPLICATION NO. <br /> 1.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE I1 BACKFLOW DEVICE SERIAL.NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND _ MODEL NO. <br /> METER ISTALLATION DATE BY <br /> 'a- CTj <br /> WATER ON_ OFF LOCKED OUT BY TSC - i �� <br /> F--i <br /> REMARKS: --i <br /> 1::": r-`!?-:2 <br /> :_T_ Cr:) : c_'i <br /> rr1 rri <br /> 1 SEWER SERVICE L. <br /> PERMIT NO. <br /> SP-16832 PERMIT TYPE NEW CONNECTION I LID NO. -. <br /> J 'IJOJG `I. (Nod <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 1:4 ,,o4; -t <br /> CONNECTING SFR CURRENTLY ON SEPTIC SYSTEM TO CITY SEWER. SYSTEM DEVELOPMENT FEES FOR SEWER ONj .IYFTAZT SNOHOMISI-I CC <br /> HEALTH DISTRIC FOR SEPTIC TANK DECOMMISION REQUIREMENTS. ;0 - -",; <br /> INSPECTED BY: I DATE: <br /> FEES I <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEES $5,940.00 <br /> TOTAL FEES $6,010.00 <br /> IPERMIT NUMBER U1608-058 I <br /> TO POSTING (A` '/ ' 7 ADDRESS COPY <br />