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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> E PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> IV/0 jilU(7 IP/7 (425)257-8810 <br /> PERMIT NUMBER 01706-072 DATE: <br /> JOB ADDRESS 15 FERN RD LEGAL DESCRIPTION SEC 01 TWP 28 RGE 04 <br /> DESCRIPTION COST ESTIMATE REPLACE EXSTG 3/4" WATER SERVICE Vs APN 28040100402900 <br /> OWNER HAACK BROS CONST INC TENANT <br /> 3922 87TH AVE NE CONTRACTOR HAACK BROS CONST INC <br /> MARYSVILLE WA 98270 3922 87TH AVE NE <br /> MARYSVILLE WA 98270 <br /> PHONE 4253977360 <br /> PHONE 4253977360 <br /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 1" DUP 0.00 <br /> �1".. <br /> SETTER INSTALLATION DATE . I 1 BY e r1i, <br /> METER NO. S�� , l6 C.) SIZE I t t #1 BACKFLOW DEVICE SERIAL NO._ <br /> S( <br /> R.F.NO. 1 / 'cJ c1 2.1 3 Y; #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND NC.7+IA.mi.... MODEL NO. <br /> METER ISTALLATION DATE 7.5 -17 BY 1 A <br /> WATER ONK OFF LOCKED OUT BY TSG Rl ''"i i.:-1;:i <br /> REMARKS: <br /> 4th;* •;4... . -1 a <br /> �`r Cl r"'--•i Q <br /> .7" Pr7 • <br /> 1=1 ,;.T fir. <br /> I SEWER SERVICE r.-.1.1 rri <br /> v) i <br /> PERMIT NO. !._.i <br /> PERMIT TYPE LID NO a) -� <br /> �J„I <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14, $.Z8.,,,,, m <br /> CC)8 Co <br /> C7 F--'C) <br /> —d,^-,.�F^+ <br /> INSPECTED BY: <br /> DATE: �-•d <br /> F <br /> ) [I its T. <br /> IFEES ` `'/ 't � ,..� <br /> WATER UTILITY FEE $869.00 )-eP05 it 02()( <br /> c ^•;�,� <br /> 0 np)rn- I'-°' - <br /> TOTAL FEES $869.00 <br /> IPERMIT NUMBER 01706-072 <br /> \� UTILITIES COPY <br /> 0__ Ct <br />