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N} UTILITIES - CITY OF EVERETT <br /> 4 <br /> ¢$ � PERMIT SERVICES. :. PERMIT 3200 CEDAR STREET <br /> :- ."--, EVERETT,WA 98201 <br /> (425)257=8810 <br /> '' PERMIT NUMBER U1712-015 • <br /> DAi <br /> JOS ADDRESS6502 EVERGREEN WAY. LEGAL T )ESCRIPTION - <br /> DESCRIPTION SEWER,WATER FOR NEW MDED USE BLDG APN. 00393000001500: <br /> OWNER MADISON REAL PROPERTY LLC TENANT <br /> PO BOX 31609 CONTRACTOR CONSTANTINE BUILDERS INC <br /> SEATTLE WA 98103 18486 BALLINGER WAY NE <br /> . <br /> LAKE CITY WAY WA 98155 <br /> PHONE, _ - <br /> PHONE 4254857500 <br /> I _ WATER SERVICE I <br /> SERVICE SIZE SERVICETYPE' FRONTAGE -NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 2" COM 0.00 50-14192 APP-19181 <br /> • SETTER INSTALLATION DATE i pG S '<I. BY . <br /> METER NO. klci1 '. .i, 1 SIZE #1 BACKFLOW DEVICE SERIAL NO. - . - <br /> R.F.NO. ' 5 44 L J 09,:1 � • - - _��, <br /> ..#2 BACKFLOW DEVICE�SERIAL NO..'� <br /> \` <br /> iIJ hiIIIIIIIIiIIllIIIIIii <br /> ME.TER,ISTALL'ATION DATE`. Xi�.5`-,I U By PS 1546509770 , <br /> WATER ON_O� LOCKED OUT . .BY -"�' ' <br /> - � <br /> 2"DOMESTIC COMPLETE SERVICE:SPRINIC- ED2J11 RW F3 w <br /> REMARKS. - , <br /> 2 <br /> 61010711 <br /> 11111 IllI III llI 11111 IIII Ill llhI ItII <br /> PERT-N° SP-17550 PEREET TYPE NEW CONNECTION I.LID NO. <br /> REMARKS:_ Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.68.260 <br /> • <br /> INSPECTED BX I DATE: <br /> • <br /> FEES <br /> SEWER UTILITY FEE $70.00 sa fla,..,..., <br /> WATER UTILITY FEE ' $4,402.00 . <br /> ll0Ec2i2017 <br /> p `ll eVERETT <br /> TOTAL FEES $4;472 00= . vlCes <br /> I"PERMIT NUMBER U1712-015 (. <br /> UTILITIES COPY <br /> ''* qoil/ <br />