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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> E rr PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 20 1603K (425)257-8810 <br /> PERMITNUMBER U1511-032 DATE 11/20/2015 <br /> JOB ADDRESS 2315 OKLAHOMA AVE LEGAL DESCRIPTION <br /> DESCRIPTION WATER/SEWER/SYSTEM DEV FOR NEW SFR AI'N 01053500001300 <br /> OWNER JACOBSEN HOMES INC TENAN <br /> 1 109 SPRINGBROOK RD CONTRACTOR OWNER <br /> LAKE STEVENS WA 98258 <br /> PHONE? 4253300444 <br /> PHONE <br /> WA'T'ER SERVICE <br /> SERVICE SIZE SERVICETYPE FRONTAGE I-OF UNI I'S SERVICE ORDER NO APPLICATION NO. <br /> SFR 0.00 SO-13580 ( APP-18573 <br /> _ I <br /> SETTER INSTALLATION DATE <br /> METERNO 63 q4 6 i� _SIZE I t( 91 BACKFLOW DEVICE SERIAL NO <br /> R.F NO. 1 ^+-/d /�4 T l I 42 BACKFLOW DEVICE SERIAL NO <br /> BRAND Mey,_e- MODEL NO <br /> Z� <br /> METER ISTALLATION DATE <br /> WATER ON_ OFF LOCKED OUT r BY �1J TSG Z'7 ^ V <br /> R MARKS: ENTIRE SERVICE TO BE UPGRADED TO 1" OR ADEQUATE FLOW FOR FIRE SPRINKLER SYSTEM. <br /> SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE NEW CONNECTION LID NO <br /> REMARKS: Please Note:'Fhe City is responsible for structural detects in the side sewer on the City ROW side per EMC 14.08.260 <br /> EXISTING SEWER STUB TO BE RE-USED(6")-NOTIFY UTILITY BILLING TO START SERVICE <br /> INSPECTED B) I UA'I'I_ <br /> FEES <br /> Sewer Utility Fee $70.00 <br /> System Development Fees <br /> Water Utility Fee $2,396.00 <br /> TOTAL FEES $2,466.00 <br /> PERMIT NUMBFIZ 01511-032 <br /> UTILITIES COPY <br /> ' I 1 1 /V - L( I I " C� <br />