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f t * , ITY OF EVERET`T <br /> TILITIES <br /> PERMIT SERVICES <br /> i-i PERIVII'I' <br /> . TREET. <br /> ' 3200 CEBAR S <br /> EVERETT,;WA 98201 <br /> (425}257 8810 <br /> PERMIT NUMB_ER U1706 063 •` DATE {t <br /> JOB ADDRESS 5529`BROADWAY LEGALDESCRIPTION '^'r�� <br /> DESCRIPTION SEWER FOR NEW;SFRDETAC . D APN <br /> • 28USO;f0006500 <br /> -OWNERFITZGERALD HAL D&DORTS _ TENANT <br /> 3811 121 ST PL SE CONTRACTOR ` <br /> EVERETT WA 98208 ALL.ABOUT CONCRETE LLC <br /> 12015 MARINE DR <br /> PHONE <br /> TULALIP WA 98271 - <br /> "' Pxorrs 20624075Q7.� <br /> IWATER SERVICE; <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE:ORDERNO,_ APPLICA'IYON NO. - <br /> 1.U0 I <br /> SETTER INSTALLATION.DATE _ • - - - - - <br /> METER NO, = SIZE #1 BACKFLOW DEVICE SERIAL NO'- _ <br /> RF�IO. - #2 BACKFLOWI)EVICE SERIAL NO. - - - - - <br /> .. <br /> TERISTALLATIONDAT,E BY +•! <br /> WATER ON_OFF_'LOCKED OUC `=BY - TSG . <br /> REM- .,,:. -WATER INSTAJLED WITH SHORT-.PLAT UNDER U070.4-038,, <br /> SEWER SERVICE <br /> PERMITNO. SP-173-11 _ PERMITTYPE NEW CONNECTION I'1".'F')-N°.,'.- - <br /> REMI RKS. Please,Note The City is 1 gsponsible for strucfttral defects in the side sewer on.tbe City JXOW side per EMC"14 08 26G <br /> BY I DATE -AHCD - <br /> I FEES _ <br /> SEWER UTILITY FEE $70.00 ' <br /> 1O POS11HO - --- JUN 2,3 2017 <br /> CITY OF EVERETT, <br /> Permit Services <br /> TOTAL FEES ". $70.00- `. <br /> IPERMIT NUMBER till-06,063 <br /> ADDRESS COPY <br />