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�ILITIES �TY OF EVERETT <br /> PERMIT SERVICES <br /> �' PERMIT <br /> 3200 CF,DAR STREGT <br /> F,VERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1609-082 DArE �� (./ , <br /> �o�a�DRess , LFT STN 42 .�j�� ��`� "�/' � T <br /> DLscR�PrioN SIMPSON LIFT STATION-SIMPSON SUBDIVISION APN: <br /> °W'��-R CITY OF EVERETT TFNANT <br /> 3200 CEDAR ST coNr�zacTOR pOLYGON WLH LLC <br /> EVERETT WA 98201 <br /> 1 1624 SE STH ST SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONL: <br /> PH°N� 4255867700 <br /> WATER SERVICE <br /> S[RVICI�.SIZE SERVICE TYPE I�RO\'TAGE \O.OF I:tiITS SERVICE ORDER\O. APPLICATIOV\O. <br /> 3/4" DOM/FI I 0.00 - APP-1 <br /> � SO 13830 8820 <br /> I <br /> I <br /> SE7TERINSTALLATIO�IDATE gy <br /> �IETER NO. _ _$IZE _ qI BACKfLOW DEVICE SERIAL NO. <br /> R F.!�0- _ I q2 BACKFLOW DEVICE SERIAL ti0._ <br /> BR.4N�J MODEf.NO. <br /> �1.ETFR ISTALL:ITIOV DATF, gy <br /> WATER ON_ OFF_ LOCKED OUT_ _ 9Y TSG �'a'i ... <br /> —____ — � ...:.- .�.,�. <br /> :.._... _....._ � <br /> �.._..q „.,:.,.. <br /> aemnaKs: 3/4"UOM I-'OR I,IFT STATION „_,a.,. ` " <br /> ;,`;�:..� ::x:r. - <br /> SEWER SERVICE ' `'-"`�' <br /> PERMI'I'NO. Nh.RMIT"fYNI: NEW CONNECTION �'�Dh'O. <br /> �::� <br /> REMARKS: Plcase Note:The City is responsible Tor structural defects in the side sewer on the City ROW side per EMC 14.Q#3�76U _+;� <br /> ,. ;_-- , <br /> ,, <br /> ,,,,:,. ,:_, ,- <br /> _:� <br /> �:.._., _, <br /> ,,:.a ...... <br /> --',' ".. <br /> ':'i ... <br /> INSPECfGD BY: I "" <br /> DATE: �._...�...._.:7 <br /> FEES <br /> WATER UTILI�'Y FCE $480.00 <br /> �^�y j+A�'?���p 4� ' ` .. <br /> ... ^�,.�i' z d��"vi��. ' ,�...�.__ <br /> I'O"TAI.I�EES $480.00 <br /> PERMIT NUMBER U1609-082 <br /> ADDRESSCOPY <br />