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\ \, \- <br /> CITY OF EVERETT <br /> UTILITIES <br /> PERMIT SERVICES <br /> 4,0 PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> I 1/i276.3 (425)257-8810 <br /> PERMIT NUMBER U1608-004 DATE: <br /> JOB ADDRESS 15 FERN RD UNIT A& B LEGAL DESCRIPTION SEC 01 TWP 28 RGE 04 <br /> DESCRIPTION NEW DUPLEX WITH ATTACHED GARAGES APN: 28040100402900 <br /> OWNER HENDERSON PHILIP L&MARIANNE TENANT <br /> 15 FERN RD CONTRACTOR HAACK BROS CONST INC <br /> EVERETT WA 98203 3922 87TH AVE NE <br /> MARYSVILLE WA 98270 <br /> PHONE <br /> PHONE 4253977360 <br /> WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" �JDUP ` (��/ 2.00 SO-13724 APP-18717 <br /> SETTER INSTALLATION DATEyTEI I IH.- 1 / BY L4 : i.... ( co q <br /> METER NO. T' •a/ 3��✓e (3 Q , -/f1- ?/1-1 RI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO.1 9 L(o J I l,Otoo Ti #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND N`9 11 on`/ / (�/ ///► 14611 MODEL NO. <br /> METER!STALL A TION DATE t .I(-'J 1 BY �/J � j <br /> WATER OFF A. LOCKED OUT )- BY v— I' L. 4 C I TSG `Z % — t ` <br /> REMARKS- UNIT A:NEW COMPLETE 3/4"WATER SERVICE.UNIT B:CONTACT UTILITY BILLING TO CONVERT(EXISTING FLAT RATE <br /> WATER SERVICE TO A METERED CONNECTION. <br /> ISEWER SERVICE <br /> PERMIT NO. SP-16783 PERMIT TYPE NEW CONNECTION I 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 /> UNIT A&B:RECONNECT TO SIDE SEWER. <br /> • <br /> INSPECTED BY- <br /> 1 $efE�4`.�,�`_' ,�,. i, n n , ). { <br /> 1 Dj <br /> I FEES <br /> 14t761J ® i 4 7 <br /> SEWER UTILITY FEE $60.00 <br /> SYSTEM DEVELOPMENT FEES $4,811.00 CITY OF EVERETT <br /> WATER UTILITY FEE $2,514.00 Permit Services <br /> TOTAL FEES $7,385.00 <br /> IPERMIT NUMBER U 1608-004 -mwel <br /> UTILITIES COPY <br />