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I IILITIES C OF EVERETT <br /> PERMIT SERVICES <br /> 1 PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1801-023 DATE: //5/i//15 <br /> JOB ADDRESS 2008 23RD ST LEGAL DESCRIPTION <br /> DESCRIPTION TURN ON&TESTING OF DORMANT SERVICE,RECONNEC' APN: 00439149400102 <br /> OWNER JUBIE ALFRED/KATHLEEN TENANT <br /> 2008 23RD ST <br /> EVERETT WA 98201 CONTRACTOR, OWNER <br /> PHONE <br /> PHONE <br /> I WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE. FRONTAGE <br /> NO OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4" SFR 0.00 SO-14206 APP-19195 <br /> SETTER INSTALLATION DATE BY <br /> METER NO.. - SIZE, #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. I #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. * <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF LOCKED OUT BY. - 7 '"'T <br /> TURN ON&TESTING OF DORMANT WATER SERVICE TS - 1 I . w , �• <br /> REMARKS - <br /> 1.`5-..._�:: ..CAS:P7 Gr.}'Tt...I....7"'Y}. ;{"?.:�I:'..F`t"�7.'-�72: <br /> I.�r—s r-n • rr�-=-r •-.....rrtr ;Eer�=-.--;�r <br /> ? r;,•1"1 r7"5 r,} } 27:2 t=+] r72 ""l i"T`I-•—.•- <br /> 5 <br /> ' C, V <br /> SEWER SERVE :1::;32i �' i i 1:1:1 <br /> PERMIT NO. SP-17578 PERMIT TYPE NEW C }'V IV ECTION .LID NO. . <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sere<'. o i <br /> ILT, ." t. ° <br /> r .C. .tr''r;r--}r }'rr} r.RECONNECT SEWER .5C",4,,,a F;..S. a tC�} r3 C= r ...a ) yYt <br /> P' rlai1 r<;7 Li;+GT - :_J'^7^. J'rCJG'r .�.a 8 C ^ 8 a7 <br /> INSPECTED BY: I DATE <br /> FEES <br /> SEWER UTILITY FEE $60.00 <br /> WATER TURN ON&TEST FEE ' $60.00 <br /> TOTAL FEES $120.00 <br /> PERMIT NUMBER U1801-023 I <br /> I <br /> ADDRESS COPY <br />