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ILITIES C 'Y OF EVERETT <br /> L <br /> #,../ //---: PERMIT SERVICES <br /> 4;0 TT PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1311-013 DATE: 1,2^.-3‘--6 <br /> JOB ADDRESS 5013 S 3RD AVE LEGAL DESCRIPTION <br /> DESCRIPTION SYS DEV FEES FOR DUPLEX CONVERSION APN: 00500300800700 <br /> OWNER SCHIFFMAN LAURIE A&STEVEN P TENANT <br /> 5013 S 3RD AVE CONTRACTOR OWNER <br /> EVERETT WA 98203 <br /> PHONE 4253041040 <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS I SERVICE ORDER NO. I APPLICATION NO. <br /> 2.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY p�+ <br /> 7'1 <br /> WATER ON OFF LOCKED OUT BY TSG I—, <br /> I--• I...a F...I..-".I._.4-g.I--'•I—" I—.I. pwd <br /> i �.d <br /> REMARKS: ._�� • <br /> I ,- ._i CO C4-CI-n r b-1:.47="'�? ._` <br /> 4 :I--af. .; .r-r--c r k;--.- <br /> m' --ri m a'}-"S.-} .-.7.,. 1 <br /> .% I-'-7 -Try .T-1 1Ti '-r <br /> .•:_I c`o c� <br /> ISEWER SERVICE 0 '—°.I r.'i rj-) I <br /> I--•1=+ <br /> PERMIT NO. PERMIT TYPE DEV FEES / 5 <br /> °},.•1 I LID NO. <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewey:buipf.Cj QW s!j16 per EMC 14,10?••,260 rra <br /> 1_•Il'"1:-N•.i.) r•.:) •Er":.tySt I.:.C) C••Ps iy? --: <br /> CC')9 -.] A C>•M 4.I-••r ii CZ)r+:l Lx)i_-"•Ps(...:) . <br /> •..�.�p ..CI.F- C)f-:-.'7'.F-' 7 LTi F.'r•C)C) <br /> E.:I Intl ft <br /> __..I r.)fTi <br /> . s <br /> INSPECTED BY. I DA H: i_.... ..O <br /> FEES <br /> System Development Fees $4,576.00 <br /> TOTAL FEES $4,576.00 <br /> PERMIT NUMBER U1311-013 <br /> ADDRESS COPY <br />