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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1609-061 DATE: <br /> JOB ADDRESS 215 W MUKILTEO BLVD LEGAL DESCRIPTION <br /> DESCRIPTION 6"TAP,6'GATE VALVE FOR CONTRACTOR INSTALLED FII APN. 29043600101400 <br /> OWNER OUR SAVIORS LUTHERAN CHU TENANT OUR SAVIORS LUTHERAN CHURCH <br /> 215 W MUKILTEO BLVD <br /> EVERETT WA 98203 CONTRACTOR OLYMPIC GENERAL CONTRS LLC <br /> 2110 MADISON ST <br /> EVERETT WA 98203 <br /> ''HONE 4252520413 <br /> PHONE 4253170851 <br /> WATER SERVICE <br /> SERVICE SIZE I SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 611 FIRE 0.00 SO-13813 I <br /> SE ITER INSTALLATION DATE -_ By <br /> METER NO. SIZE 41 BACKFLOW DEVICE SERIAL NO. _ <br /> R.F.NO. ___ I #2 BACKFLOW DEVICE SERIAL No.___ —- — — <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE _ By — -- - �—- — <br /> WATERON_ OFF_ LOCKEDOUT_ By -z -l — ( C,J g <br /> - TSG " <br /> REMARKS: ESTIMATE IS FOR CONTRACTOR TO EXCAVATE,SHORE AND RESTORE. —' <br /> �1 m <br /> SEWER SERVICE <br /> PERMIT NO. <br /> PERMIT TYPE LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defectsin the side sewer on the City ROW side per EMC 14.(l13�2 "� <br /> POP <br /> Ca V Ca r.J L"� <br /> C`7 G7 GT, <br /> INSPECTED BY: I DATE. <br /> FEES <br /> WATER UTILITY FEE $2,660.00 <br /> TOTAL FEES $2,660.00 <br /> PERMIT NUMBER U1609-061 <br /> UTILITIES COPY <br />