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UTILITIES <br /> CITY OF EVERETT <br /> ,, PERMIT SERVICES <br /> PERMIT <br /> t ` aM. ,,,, 3200 CEDAR STREET <br /> EVERETT,`WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER . U1803-044 DATE <br /> • JOB ADDRESS 5109 CHINOOK DR LEGAL DESCRIPTION` <br /> DESCRIPTION COST ESTIMATE MODIFY 3/4"SERVICE TO 1"METERED SE APN. 00571700100100 <br /> OWNER BUSTARD CUSTOM CONSTRUCTION INC TENANT <br /> PO BOX 1243 CONTRACTOR BUSTARD CUSTOM CONST INC <br /> MARYSVILLE WA 98270 PO BOX'1243 <br /> MARYSVILLE WA 98270 <br /> PHONE , <br /> PHONE 4258766551 <br /> WATER SERVICE... <br /> SERVICE SIZE SERVICETYPE` FRONTAGE NO OFIINITS SERVICEORDER NO. APPLICATION NQ <br /> 1" DOM/FI <br /> SETT ER INSTALLATION DATE I "'.(8 BY %4 <br /> METERNO —5,11`i• 0Cg4 5 SIZE L- <br /> I-I- <br /> ''1 #1 BACKFLOW DEVICE SERIALNO. <br /> R.P.NO. v (7� 5 #2 BACKFLOW DEVICE SERIAL NO. .. <br /> BRAND f'-p✓ 5- <br /> MODEL NO. - <br /> METER IS TTON DATE / C-1 <br /> .... . BY /ey�(.._, ( - <br /> tiri <br /> ;CLI-:41 <br /> 1. � LOCKED O11T BY- ��e.... - - 17-15 <br /> REMARKS, <br /> ODIFICATION OFX)GSTING SERVICE:CHANGE EXISTING 3/4'.WATER SERVICE TO 1"METERED SERVICE.. _ I--' g <br /> --I <br /> F <br /> P D1C•A 1 <br /> SEWER SERVICE . . r.D <br /> PERMff NO. PERMIT TYPE I LID NO. �� '.! • <br /> REMARKS; uct <br /> Please Note:The City is responsible for strural defects in theside sewer on the`City ROW side per EMC 14.0 r3 r---:"'• <br /> ,' r <br /> • <br /> a0r-J <br /> c_.2.,,; <br /> x : �•i FS <br /> INSPECTED BY - DATE I'"' 2 <br /> WATER UTILITY FEE $2,712.00 <br /> TOTAL FEES $2,712.00 <br /> PERMIT NUMBER U1803-044 <br /> UTILITIES;COPY <br /> P0 <br /> O <br />