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UTILITIES CITY OF EVERETT <br /> (i4L PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> � `�t6�a7� EVERETT,WA 98201 <br /> I ( (425)257-8810 <br /> PERMIT NUMBER U1605-013 DATE. <br /> JOB ADDRESS 2202 BROADWAY LEGAL DESCRIPTION EVERETT PLAT OF BLK 475 D-00 - <br /> DESCRIPTION WATER,SEWER FOR DRIVE THRU COFFE SHOP-DUTCH E APN: 00439147503100 <br /> OWNER SJC PROPERTY LLC TENANT DUTCH BROS COFFEE <br /> 1617 5TH AVE N CONTRACTOR CENTREX CONSTRUCTION INC <br /> SEATTLE WA 98109 8250 SW HUNZIKER RD <br /> TIGARD OR 97223 <br /> PHONE <br /> PHONE 5036840443 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 1" eI COM 0.00 SO-13656 APP-18647 <br /> SETTERINSTALLATION DATE f—J c—/ 0, 1,k/,#4 14 1 <br /> METERNO. 57365009 SIZE t •t ril BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO._—pq f--7 15-2 I #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND ,,/�C MODEL NO. <br /> /! U <br /> /yyy <br /> METER ISTALLATION DATE L/ w O^/r((J BY /� fly/' ,� ! <br /> WATER ON tCOFF_ LOCKED OUT BY ` I Y� TSG <br /> REMARKS:�� CONTACT UTILITY BILLING AT 425-257-8999 TO CONNECT TO EXISTING DORMANT CONNECTION FOR LANDSCAPI: <br /> IRRIGATION. <br /> SEWER SERVICE <br /> PERMIT NO. SP-16657 PERMIT TYPE NEW CONNECTION LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: I DATE: <br /> FEES <br /> Sewer Utility Fee $70.00 ('j n /FZ\ <br /> Water Utility Fee $2,516.00 j �� <br /> JUN 10 2016 <br /> CITY OF EVERETT <br /> TOTAL FEES $2,586.00 Permit Services <br /> DD <br /> PERMIT NUMBER U1605-013 <br /> UTILITIES COPY <br /> Si �/1�� <br /> 60 <br />