Laserfiche WebLink
UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 01�/5 a3 (425)257-8810 <br /> PERMIT NUMBER U1606-032 DATE: <br /> xxi ADDRESS 12623 16TH AVE SE LOT 3 LEGAL DESCRIPTION <br /> DESCRIPTION NEW 3/4" COMPLETE WATER SERVICE APN: <br /> OWNFI: PACIFIC HEIGHTS HMS LLC TENANT <br /> 620 SE EVRT MALL WAY#350 CONTRACTOR <br /> EVERETT WA 98208-4950 <br /> 111IONI, <br /> PHONE <br /> WATER SERVICE <br /> SE=RVICE SIZE I SERVICE TYPE I FRONTAGE: I NO OE 10.100 I SERVICE ORDER NO. I APPLICATION NO <br /> SETTER INSTALL/ATION E DAT1 ,'S,�y' _ _ BY • /�)l 'V�Y <br /> METER NO. 6•/� z <br /> 33� SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> S <br /> R.F.NO.I 7 I :3C �� I #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> METER IS7'ALLATION DATE f S--`k' BY <br /> J( Alce,/ 15417301916 <br /> WATER ON_OFF LOCKED OUT BY TSG <br /> REMARKS: NEW 3/4"COMPLETE WATER SE ED2Bl l RWF3 <br /> 5/8"x 3/4" <br /> 69337257 <br /> II I I I I II II III III II II <br /> PE.RMITNO PERMrrIVPE 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 /> Water Utility Fee $2,514.00 () <br /> f JUN 1 3 20- �' <br /> C 1 OF E VERET7' <br /> TOTAL FEES $2,514.00 Permit Services <br /> PERMIT NUMBER U1606-032 <br /> UTILITIES COPY <br />