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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> E ETT PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1512-013 DATE: <br /> JOB ADDRESS 2119 103RD ST SW UNIT B LEGAL DESCRIPTION PAINE FIELD 5 BLK 000 D-01 -TR/ <br /> DESCRIPTION WATER FOR NEW DUPLEX UNIT APN: 00538200005501 <br /> OWNER DYYNASTY HOLDINGS LLC "TENANT <br /> P O BOX 716 CONTRACTOR DYNASTY HOMES INC <br /> EVERETT WA 98206 <br /> 3511 Glacier Peak Ave <br /> EVERETT WA 98208 <br /> PI ION F, <br /> PHONE 4254221688 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> II' DOM/FI I 1.00 SO-13573 APP-18566 <br /> SETTER INSTALLATION DATE H 2-Z-`� BY ` w-S <br /> METER NO. J 3CcS\.-7(DP SIZE •`• HI BACKFLOW DEVICE SERIAL NO. <br /> N.F.NO. 154 2,2--1 77S `f- b2 BACKFLOW DEVICE SERIAL NO.-- <br /> BRAND <br /> O. _BRAND h'aL� l� MODEL NO. <br /> METER ISTALLATION DATE '\�Z 7-- BY <br /> WATER ON OFF 7LOCKED OUT T BY � TSG m7 l S -r'a-�j <br /> F'`F-•I---'I.-F"I--` t-+ mLo <br /> REMARKS: DUPLEX WITH SEPARATE I"WtER$�E-R CFS -i <br /> -I. c�m-,� <br /> r-zy x• -c � r.__ _. T, —i t—r-rri <br /> S ^i --i IJ7 S• c S•r)I-�. C-Jr'i <br /> n i -. ,i•�I cry <br /> n] --�r'_� � e•..f -rt�m_��i-.i--.�m :ate i-- <br /> t:± Cr <br /> SEWER SERVICE <br /> b• I <br /> FERMI"1'NO. PERMIT1PE NEW CONNECTION U.NO <br /> C?7 <br /> r•.:; {�+ tri I%FF +Jit '" +=i-i —'^ <br /> REMARKS: Please Note:The City is responsible for strugdgljdgPe�tj i;INt�es e letvgt on the City ROW sideFppr Ew Iowa <br /> t_.A C.T7 i-.�i:^1--•Un -C)-8= *Xi,�f.t+#f-:i T_ct#fit C_T7 'w I"•.:)1•x.1 F-•0'R <br /> MUKILTEO SEWER DISTRICT.CONTACT MUKILTEO SEWE TtP � 1 lCl1tS '.4n '•c> :; <br /> d Cr. Cr. ._r. . . . r. . . 1_•. <br /> yc,V>p-•. ^r i-� a s-'a ->�> a Cr c;. Ca 'r Cr LT7 G•r Ca�•! ,r D f_N <br /> L•1 4.h�Ca f_..1.�-.a T'•,J `a F-• Ca a�a :.r Ca'-'-a t G C,r:'..r 03i_T7 <br /> INSPECTED BY. I DATE: <br /> FEES <br /> Water Utility Fee $2,396.00 <br /> TOTAL FEES $2,396.00 <br /> PERMIT NUMBER 01512-013 <br /> UTILITIES COPY <br /> SWA9- <br />