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<br /> 11.1,111,
<br /> lT'Y OF EVERETT
<br /> PERMIT SERVICES
<br /> PERMIT
<br /> 3200 CEDAR STREET
<br /> ” - EVERETT,WA 98201
<br /> (425)25'7-8810
<br /> PERMIT NUMBER U1710-024 DATE: 2 -2 0 .
<br /> JOB ADDRESS 3620 BROADWAY LEGAL DESCRIPTION
<br /> DESCRIPTION WATER,SEWER FOR NEW COMMERCIAL SHELL APN: 00437388002200
<br /> OWNER VAN WINKLE PROPERTIES LLC TETANY VACANT
<br /> 2410 38TH ST CONTRACTOR GAFFNEY CONSTRUCTION
<br /> EVERETT WA 98201-5300 8105 BROADWAY
<br /> EVERETT WA 98203
<br /> PHONE
<br /> PHONE 4253555500
<br /> WATER SERVICE
<br /> SERVICESIZE. SERVICE TYPE FRONTAGE • NO.OF UNITS SERVICE ORDER NO. `.APPLICATION NO.
<br /> 1" COM 0.00 SO-14166 APP-19155
<br /> SETTERINSTALLATION DATE BY
<br /> M„ETER'„NO. 'SIZE #1 BACKFLOW DEVICE.SERTAL,NO.
<br /> ` #2 BACKFLOW DEVICE SERIAL NO.
<br /> ERAND• - MODEL NO.
<br /> METERISTALLATION DATE BY - -
<br /> WATER ON OFF LOCKED OUT BYT� ''"-J-J
<br /> E G i• I: I. • u._ i......i~.-
<br /> REMARKS: 1"METER ONLY.. ---i crs -�+....:-.15.-1"..).. m -+�xa:-•-+crs m '' "
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<br /> SEWERSERVIC '`'1. I'
<br /> .,I
<br /> PERMIT TYPE LID NO. :.:
<br /> PERABT No.. -'SP-17509 ALTEREggiN -�
<br /> I t�y
<br /> REMARKS: PleaseNote:The City is responsible for structural defects in the side sCri0 "s �j;i,08:26 ;
<br /> --:7 9 : . '.,}1--` .]J•.i5 h--` -1= ' 'T'.7•C _.ti.'f...
<br /> SIDE SEWER ALTERATION TO ACCOMODATE NEW BLDG N'• {�P '8 c~i;�'• '1,z='�n'=...:?..*; ; ^; •; ':
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<br /> iNSPECTIDBY: -• _DATE:
<br /> SEWER UTILITY FEE $30.00
<br /> WATER UTILITY FEE $560.00
<br /> TO POSTING /16 /17
<br /> TOTAL FEES $590.00
<br /> PERMIT NUMBER U1710-024 I
<br /> ADDRESS COPY
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