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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1608-007 DATE: <br /> JOB ADDRESS 7707 BROADWAY LEGAL DESCRIPTION <br /> DESCRIPTION 4"COMPOUND METER IN VAULT W/4"PIPE INSIDE NEW H APN: 28050800302800 <br /> OWNER BEN HOLT INDUSTRIES INC TENANT WOODSPRINGS SUITES <br /> 22508 76TH AVE W CONTRACTOR WEST77 CONSTRUCTION LLC <br /> EDMONDS WA 98026 10620 NE 9TH PL <br /> BELLEVUE WA 98004 <br /> PI IONE <br /> PHONE 4259747080 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 411 � COM I L' 0.00 SO-13726 APP-18719 <br /> SETTER INSTALLATION DATE `^0nI t BY <br /> METER NO. l 1 UQ1^ /� SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. F 1•?le l.', ��) �N fi! 3 � �'i C j <br /> ` <br /> #2 BACKFLOW DEVICE SERIN.NO. <br /> BRAND i� i 1C�.1\ t i _ MODEL NO. <br /> METER ISTALLATION DATE `-16-OCy 16 BY 5 P �4 JL+ <br /> �/ ^ IIIII II I IIII L I IIII 11111111111 <br /> WATER ON Y OFF_ LOCKED OUT BY SP 1471130309 (LO) TSG <br /> REMARKS: COST ESTIMATE II1II 1111111111111111111111 <br /> '14'71130308 (HI) <br /> SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per FAIC 14.08.260 <br /> INSPECTED BY: DATE <br /> FEES <br /> WATER UTILITY FEE $6,348.00 <br /> TOTAL FEES $6,348.00 <br /> PERMIT NUMBER U1608-007 <br /> UTILITIES COPY <br />