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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> �L J PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> 140 �r�! 7�511'Y <br /> PERMIT NUMBER U1706-084 DATE: <br /> JOB ADDRESS 615 80TH ST SW LEGAL DESCRIPTION <br /> DESCRIPTION 6"TAP ON 12"MAIN,CONNECT TO C.I. 6" D.I.FIRE LINE APN: 00412300000500 <br /> OWNER TYTUS WILLIAM B&SUSAN B TENANT POCOCK RACING SHELLS <br /> 615 80TH ST SW CONTRACTOR SUPERSTRUCTURES INC <br /> EVERETT WA 2221 EVERETT AVE <br /> EVERETT WA 98201 <br /> PHONE <br /> PHONE 2067860198 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 12" CEST 0.00 SO-14034 APP-19023 <br /> SETTER INSTALLATION DATE ^� BY <br /> METER NO. "r"jO Z C ei 6` SIZE V 7 4 <br /> S #1 BACKFLOW DEVICE SERIAL NO. ti <br /> RF.NO. � <br /> /� l 0(197 504 #2 BACKFLOW DEVICE SERIAL NO. ric 117 3 4 <br /> --- <br /> BRAND hi t ptIL w{ Ill II 11111 Rill III 1111111 II II MODEL NO. 3C° ft ST A 1r <br /> JO ►Z. i 7 FBI- 44;y 1546063504 <br /> METER ISTALLATION DATE BY _ <br /> WATER ON OFF LOCKED OUT BY III II Ill I IIII I III II IIIII II I r1-T H 17';7 <br /> TSG CI Cr:I <br /> 1546063504 }-- =�= r' <br /> REMARKS: 6"TAP ON 12"WATER MAIN.CONNECT TO CONTRACTOR INSTALLED 6"D.I.FIRE LINE.CONTRACTOR TO ECA\1FE. <br /> SHORE,RESTORE&PROVIDE TRAFFIC CONTROL.COST OF 3/4"DETECT METER FOR DCDA APA131Vip TI -TOTAL <br /> rri .r7-1 <br /> rr, � <br /> SEWER SERVICE I . <br /> I , 1 I <br /> PERMIT NO. PERMIT TYPE LID NO. __. <br /> CO.4� m <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.0` 2 Cl <br /> OD a iT <br /> �.I{� .I <br /> .jD 0.a <br /> :F.'73 C)1-12 1._. <br /> ---I •')--I• I DATE: <br /> INSPECTED BY: ~� J <br /> IFEES I <br /> WATER UTILITY FEE $4,839.00 ED2E311 RWF3 <br /> 5/8"x3/4" .� <br /> 36020982 <br /> 1111111 1101011111111111 <br /> TOTAL FEES $4,839.00 <br /> IPERMIT NUMBER U1706-084 <br /> UTILITIES COPY <br />