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UTILITIES CITY OF EVERETT <br /> S <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 2�l 70 >2 7 (425)257-8810 <br /> PERMIT NUMBER U1702-020 DATE: <br /> JOB ADDRESS 1706 BROADWAY LEGAL DESCRIPTION <br /> DESCRIPTION NEW WATER SERVICE INSTALL- 1" FIRE APN: 00438235102900 <br /> OWNER DAMBROSIO GABBE TENANT <br /> 911 N 145TH ST CONTRACTOR CLASSIC REMODELING NW INC <br /> SHORELINE WA 98133 11330 4TH AVE W#7 <br /> EVERETT WA 98204 <br /> PHONE <br /> PHONE 4252242004 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> I/ <br /> l Don/, 0.00 SO-13903 APP-18892 <br /> SETTER INSTALLATION DATE1115I 7-1 6-- 1 '7 BY 0.4 L. r �V q <br /> METER NO._57 <br /> 5 (7'(3 SIZE / i I #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 15.`1���J..S nit 52 BACKFLOW DEVICE SERIAL NO. <br /> BRAND ,&A(f I&a(/f G exit) //' MODEL NO. _ <br /> METER ISTALLATION�JDATE 7 1 v-17 BY 1,(4) <br /> LL J�/�6 q9 <br /> WATER ON/� OFF_ LOCKED OUT . BY 1 D I �/ TSG ( 45'\ (�i )y <br /> REMARKS:/ DOMESTIC/1"FIRE C10) <br /> , LI <br /> SEWER SERVICE I <br /> PERMIT NO. PERMIT TYPE NEW CONNECTION I LID NO. I <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 /> IFEES <br /> WATER UTILITY FEE $2,516.00 <br /> TOTAL FEES $2,516.00 <br /> PERMIT NUMBER U1702-020 I <br /> UTILITIES COPY <br />