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'ILITIES ViTY OF EVERETT <br /> #1111P, c,--1 PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1702-002 DAI 4, b-i <br /> JOB ADDRESS 5700 23RD DR W BLDG F LEGAL DESCRIPTION <br /> DESCRIPTION WATER&SEWER FOR NEW BLDG APN: 28040200200901 <br /> OWNER NORTHSHORE CHRISTIAN CHURCH TENANT NORTHSHORE CHRISTIAN ACADEM` <br /> 5700 23RD DR W CONTRACTOR <br /> EVERETT WA 98203 KIRTLEY COLE ASSOC LLC <br /> 2820 OAKES AVE STE B <br /> EVERETT WA 98201 <br /> PHONE <br /> PHONE 4256090400 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 2" COM 0.00 SO-13896 APP-18885 <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 PI <br /> tt w...�1::i1 <br /> t--•F-` P -1- • II ' 1 . I ,s..._. 3 I. d <br /> —•i . <br /> REMARKS: <br /> n•--i!=U3"'—i-n-n 7'":1:3 <br /> Ci3"nZ.72. <br /> hhit -,-_ <br /> O ; TIfC. i flzm — r.. <br /> C3 _.c <br /> t`y I— <br /> I SEWER SERVIC : _ Ir- I <br /> cr.) I <br /> I <br /> PERMIT NO. <br /> SP-1'7093 PERMIT TYPE m4 I LID NO. .,.-1 <br /> 4j-I.ON, }t ,,. <br /> rn <br /> REMARKS: Please Note:The City is responsible for structural defects in the side se i 'o tt Git' s e r, VTC 14.1 6;tom, r.., <br /> Cr,,'N.1 1. 7 G r•D•73 C):Fp C-5 i_Tt .... -r• 7 C'•-:7 <br /> t7t-- <br /> ::-...i_'9�a8('J�G 9 8� 'tiI.J .• ?7-.3 �7-7 .r, <br /> � . <br /> INSPECD BY'. I DAII[. i---' ---,, <br /> FEES I <br /> SEWER UTILITY FEE $70.00 <br /> WATER UTILITY FEE $4,402.00 <br /> TOTAL FEES $4,472.00 <br /> IPERMIT NUMBER U1702-002 <br /> ADDRESS COPY <br />