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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> E E� PERMIT <br /> 3200 CEDAR S'T'REET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1603-086 DATE: 03/29/2016 <br /> JOB ADDRESS 2124 LEXINGTON AVE LEGAL DESCRIPTION PINEHURST BLK 008 D-00-FRAC <br /> DESCRIPTION COMPLETE WATER SERVICE FOR NEW LOT APN: 00544700800100 <br /> OWNER RVHARDT PROPERTIES LLC TENANT <br /> 7714 78TH PL NE CONTRACTOR <br /> MARYSVILLE WA 98270 <br /> N IONS <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR I 1.00 SO-13635 I APP-18627 <br /> I <br /> SE'FrER INSTALLATION DATE '[—2y/(,J ✓! (O BY //j� �1(6 l <br /> METER NO. � 133 70 v$ SIZE �[7)5L T/T kl BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. I;,q 1671172 I d2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND vehluk, 99 MODEL NO. <br /> METER ISTALLATION D TE 1-1 _L,{o BY �/ <br /> WATER ON OFF LOCKED OUT BY <br /> �L "1 �0� TSG ` 3' c�O �(O m r7 <br /> _- m C. <br /> I� �• H o <br /> REMARKS. COMPLETE WATER SERVICE FOR NEW LOT CREATED UNDER SS 15-007 M <br /> r"I'7 'I'1 ITl <br /> f._.1 <br /> I- ]o <br /> SEWER SERVICE <br /> PEHMI9'NO. 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 EN ( rp (I0. m <br /> INSPECTED BY DATE: f--` <br /> FEES <br /> Water Utility Fee $2,514.00 <br /> TOTAL FEES $2,514.00 <br /> PERMIT NUMBER U1603-086 <br /> UTILITIES COPY <br /> �--fx A r�� <br />