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<br /> . .,_ . ... . . , ........ :,: .:_.. .,--.1„;,,40,6„,, ,,,,,, PERMIT SERVICES ., .
<br /> �J PERMI.,:::-::-..; T - _
<br /> 3VE CEDAR STREET
<br /> EVERETT:WA 98201"
<br /> (425)237 8810'
<br /> PERMIT NUMBER 11.605-020 DAA . _
<br /> JOB ADDRESS
<br /> . .6201 ASSOCIATED BLVD LEGALDESCRIPTIOZI`
<br /> -ESCRIPTION NEW'2"WATER SERVICE(WEST)"FOB.NEW CONCRETE,Til APN 28040.100303500'
<br /> OWNER IJ TDERWOOD GARTLAND"EVERETT LI, TENANT
<br /> 4 10 .i2ND'AVE NE ,CONTRACTOR
<br /> BELLEVUE - WA' 98005-1115, FOUS} E&ASSOC
<br /> • PO"BOX 3767
<br /> BELLEVUE WA 98009
<br /> PRONE
<br /> PHONE 4257461000
<br /> • 1 _ WATER SERVICE
<br /> SERVICE SIZE SERVICE TYPE 'FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION MO'
<br /> it C0M
<br /> 0.00 S0-"13600AP1: .18650
<br /> '.SETTERINSTALLATIO*DATE ,BY
<br /> �TEk�O ,,,: '- #1 BACKFLOW DEVICE'SERL4L NO�'
<br /> ,.R:E NO. 't #2 BACKFLOW DEVICE SERIAL NO
<br /> BRAND - MODEL NO:
<br /> ,METER ISTALLATIONDATE :BY - _
<br /> 1�t
<br /> WATER ON OFF_ LOCKED OUT -BY .TSG ..'
<br /> xEMARxs: NEW 2"WATER SERVICE FOR NEW TILT UP BLDG(WEST) --. ` 0..2 0.3 .
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<br /> SEWER SERVICE 9' '
<br /> PERMIT NO. ` •FERMrr TYPE =sem+.
<br /> • ,N.F*CONNEcTION','::;.,-, •g. ..,..,i,::...,.- ...,..-,,-.4!)..,,..,-,---,-.-1.1, ..- ,- -.---- '
<br /> REMARKS .Please Note:The City is responsible.for strncturaldefects in the'sade sewer bn,the,'C>ty R e girl 9.Q$a,2 .,
<br /> —I c?t:cn
<br /> INSPECTED BY .DATE - y i'-'•'L _
<br /> I
<br /> PEES "
<br /> Water;Utility'Fee $4,402:00
<br /> TOTAL BEES $4,•
<br /> 402.00
<br /> I.PERMIT NUMBER..` 171605-020 _
<br /> ADDRESS COPY
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