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i'Y OF EVERETT <br /> IhILITIES <br /> PERMIT SERVICES <br /> ' PERMIT . <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> =gg10 <br /> PERMIT NUMBER U1712-031 � . � ` ' � � DATE19 DEC 0- <br /> JOB ADDRESS 5109 CHINOOK DR LEGAL DESCRIPTION <br /> DESCRIPTION SEWER CONNECTION FOR NEW SFR ' APN: 00571700100100 <br /> OWNER BUSTARD CUSTOM CONSTRUCTION INC TENANT <br /> PO BOX 1243 • CONTRACTOR BUSTARD CUSTOM CONST INC <br /> MARYSVILLE WA 98270 <br /> PO BOX 1243 <br /> MARYSVILLE WA 9827.0 <br /> PHONE ' <br /> PHONE 4258766551 <br /> WATER SERVICE- <br /> SERVICE SIZE-. SERVICE TYPE FRONTAGE NO OF UNITS , SERVICE ORDER NQ.: r. APPLICATION NO. <br /> 0,00 <br /> SETTER INSTALLATIONDATE BY <br /> METER NO. SIZE #IBACKFLOW DEVICE-SERIAL NO - - <br /> R.F.NO - #2 BACKFLOW DEVICE SERIAL NO. '. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE. BY <br /> WATER ON_OFF_ LOCKED OUT BY <br /> TSG <br /> REMARKS. - .. <br /> SEWER SERVICE. I' <br /> PERMIT NO. PERMIT TYPE NEW CONNECTION _LID NO. I <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 /> CONNECTION FOR NEW SFR <br /> INSPECTED BY - - DATE <br /> FEES <br /> SEWER UTILITY FEE $70.00 az <br /> (1;8 <br /> ., <br /> T® POSTING I11 t/1i DEc 2 9 <br /> 2017 <br /> CLT Y 0 EVER <br /> TOTAL FEES $70.00 i t SerVices <br /> LPERMIT NUMBER U1712-031 <br /> ADDRESS COPY <br />