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C OF EVERETT <br /> ORLITIES <br /> 4PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1706-083 DATE: E' 5 lJ <br /> f I I I 2017 <br /> JOB ADDRESS 4605 COLLEGE AVE LEGAL DESCRIPTION J <br /> DESCRIPTION 3/4"TAP ON 6"C.I. WATER MAIN, INSTALL METER, SETTE:; APN: 00412000100100 <br /> OWNER SIMMONS MICHAEL L TENANT 0,-'i <br /> 4605 COLLEGE AVE CONTRACTOR <br /> EVERETT WA 98203 /I <br /> YI r'1 <br /> PHONE , 7, 1`\ <br /> PHONE <br /> I WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS I SERVICE ORDER NO. I APPLICATION NO. <br /> 6" SFR 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO._ _ _ __ SIZE #I 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 /> REMARKS: TAP 3/4"ON 6"C.I.WATER MAIN AND INSTALL METER,SETTER AND BOX.THIS IS A MODIFICATION OF EXISTING <br /> SERVICE.CUSTOMER IS PAYING FOR TIME AND MATERIALS FROM MAIN TO METER ONLY.METER SETTER,METER, <br /> ISEWER SERVICE I <br /> PERMIT NO. PERMIT TYPE 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 /> DATE: <br /> INSPECTED BY <br /> FEES ft I <br /> WATER UTILITY FEE $1,471.00 AzC,.'"'� <br /> CITY 06 201 /if <br /> 1 <br /> TOTAL FEES $1,471.00 <br /> IPERMIT NUMBER U1706-083 I <br /> ADDRESS COPY <br />