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E <br /> I LITIS <br /> C OF EVERETT <br /> PERMIT SERVICES <br /> 1 PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1803-009 DATE " 3/6/2018 <br /> JOB ADDRESS 12626 16TH AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION CONNECT SFR TO CITY SEWER .'; APN, 28053000402300 <br /> OWNER DALE PACKARD TENANT <br /> 620 SE.EVERETT MALL WY#350 CONTRACTOR PACIFIC HEIGHTS'IIOMES <br /> EVERETT WA 98208 620 SE EVERETT MALL WY#350 <br /> EVERETT WA 98208 <br /> PHONE <br /> PHONE 4252380936 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE - FRONTAGE :-NO OF UNITS - SERVICE ORDER ND APPLICATION NO <br /> • <br /> 1:00 <br /> SETTER INSTALLATION DATE. - BY,. <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F,NO <br /> #2 BACKFLOW DEVICE SERIAL NO. <br /> .BRAND <br /> MODEL NO;. - - <br /> METER ISTALLATIONDATE BY -» <br /> WATERON -OFF LOCKED OUT. BY TSG y-.� —. <br /> 12-1-1 <br /> nIJ - <br /> L 2 <br /> l r1 T1 <br /> SEWER SERVICE ' c z 17 <br /> PERMIT No. _ PERMIT TYPE NEW CONNECTION <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 1 O <br /> CON3ACT-SNOHOMISH HEALTH DISTRCIT FOR SEPTIC TANK DECOMISSIONING REQUIREMENTS. I—• <br /> INSPECTED BY: I DATE <br /> F ` <br /> FEES <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,763.00 <br /> TOTAL FEES $5,833.00 <br /> PERMIT NUMBER<' U1803-009 <br /> ADDRESS COPY <br />