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LITIE CY OF EVERETT <br /> S <br /> [ D��T PERMIT SERVICES <br /> Nv <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1603-027DATE: —, *-7 t'p <br /> JOB ADDRESS 2433 W MUKILTEO BLVD LEGAL DESCRIPTION <br /> DESCRIPTION SEWER FOR NEW SFR APN: . 00417000200502 <br /> OWNER JUDKINS PATRICK C TENANT <br /> 640 WASHINGTON PL SW <br /> CONTRACTOR JAKES'D CORPORATION <br /> MUKILTEO WA 98275 <br /> PQ BOX 6147 <br /> BOTHELL AWA 98012 <br /> PHONE <br /> PHONE, 3608632053 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO. .APPLICATION NO. <br /> 3I4" D100 OM/FI . <br /> - � 50-15629._.. AP.I'-I8621 <br /> SETTER INSTALLATION DATE BY -. - <br /> METER NO `SIZE - #1 BACKFLOW DEVICE SERIAL NO. <br /> R F NO. ( #2 BACKFLOW DEVICE SERIAL NO - <br /> BRAND MODEL NO . <br /> METER ISTALLATION DATE'. BY - _ <br /> WATER ON_ OFF____=LOCKED OUT BY TSG ! . <br /> I.....'H..c i--+1^^• MW-`I—.: I— I-`..}--=.1—.> :' <br /> REISIARKS. - - SPRINKLERS REQD.PRESSURE TEST ON WATER MAIN IN M T O I ®, P LER- 4STAi PER <br /> FIRE.EXISTING FLAT RATE.CONTACT UTILITY BILLING F 4i : rn . m: <br /> a <br /> r^ <br /> SEWER SERVICE '; m <br /> �T <br /> � 1,...1MI <br /> PERMIT NOSP-16571 PERMIT TYPE NEW CONNIPTION LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewcp he ca R W si e FEMC I ,08.260 m <br /> RECONNECT SEWER.CAP•FF FROM DEMO'D SFR UNDER U1504-016. li .6'j. •11::314*r:..2?18 .4:-...'CA`= ria` �- <br /> INSPECTED BY ,4000.19 c.-- ,....)1.--,I <br /> DATE. ^:I <br /> Sewer Utility Fee $60.00 <br /> TO POSTING (i-/ 71/3 <br /> TOTAL FEES $60.00 <br /> PERMIT NUMBER U1603027 1 <br /> ADDRESS COPY <br />