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UTILITIES CITY OF EVERETT <br /> PERMIT <br /> SERVICES <br /> E PERMIT <br /> 3200 CEDAR STREET <br /> _ EVERETT,WA 98201 <br /> f�If (425)257-8810 <br /> PERMIT NUMBER U1606-034 DATE: <br /> JOB ADDRESS 12631 16TH AVE SE LOT I LEGAL DESCRIPTION <br /> DESCRIPTION NEW 3/4"COMPLETE WATER SERVICE APN: <br /> OWNER PACIFIC HEIGHTS HMS LLC TENANT <br /> 620 SE EVRT MALL WAY#350 CONTRACTOR <br /> EVERETT WA 98208-4950 <br /> PHONI <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE I NO.OF U0,OO SERVICE ORDER NO. APPLICATION NO. <br /> �l <br /> SETTER INSTALLATION DATE �+ ,S BY r g- 4 3 <br /> METER NO.b ?3-7Zbb SIZE ILI #t BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 1 S-7 I j e j&I& #2 BACKFLOW DEVICE SERIAL NO.___ <br /> BRAND MODEL NO. _ -- <br /> METER ISTALLATION DATEy•`!F-•I l% BY `�L •J-I <br /> /� (/ 1541601616 <br /> WATER ON '/ OFF LOCKED OUT BY F'11- • �f <br /> — — TSG <br /> REMARKS: NEW 3/4"COMPLETE WATER SERVIC ED2B11 RWF3 <br /> 5/8"x 3/4" <br /> 69337260 <br /> 111111 IIIII IIIII I II II I Illli II III III <br /> PERMIT 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 EMC 14.08.260 <br /> INSPECTED BY: <br /> DATE: <br /> FEES <br /> Water Utility Fee $2,514.00 <br /> (tel-,Jvl <br /> Jv/ ' 3,20s <br /> IN OFEVE <br /> TOTAL FEES $2,514.00 Seri/RFTT <br /> PERMIT NUMBER 01606-034 <br /> UTILITIES COPY <br />