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<br /> UTILITIES CITY OF EVERETT
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<br /> Es PERMIT SERVICES
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<br /> 3200 CEDAR STREET
<br /> EVERETT,WA 98201
<br /> ` j (425)257-8810
<br /> { PERMIT NUMB ER U1802-040. _ DATE
<br /> ” JOB ADDRESS 3500 TERMINAL AVE LEGAL DESCRIPTION-
<br /> DESCRIPTION 2"DOMESTIC SERVICE APN- 29053000201800
<br /> OWNER EVERETT PORT OF TENANT SOUTH:TERMINAL,WHARF
<br /> PO BOX 538 CONTRACTOR ADVANCED AMERICAN CONST INC
<br /> • EVERETT WA 98206 ,
<br /> PO-BOX.83599
<br /> PORTLAND OR 97283:
<br /> PHONE'
<br /> "PHONE 5034459000,
<br /> I WATER SIyRVICE a
<br /> SERVICE SIZE SERVICE TYPE FROi�'TAGE NO OF UNITS SERVICE ORDER NO APPLICATION NO
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<br /> 2"' COM 0,.00 SO 14235 ;;, I APP,1'9221
<br /> SETTER INSTALLATIONPATE 1(?s 3 t T� BY
<br /> %4L METER NO <( �O �-L.�rja SSIZEC .fl _ x #
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<br /> RF NO ,,SLI $g�°.1?`34 .-. BACKFLOW DEVICE SERIAL NO
<br /> #2 BA.CKRLOW DEVICE SERIALNO, -
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<br /> ��!^' MODEL"NO.
<br /> METER ISTALI;ATION DATE 10_3 15 BY �`— .— �.—....—, `- "�
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<br /> WATER ON OFF`'LOCKED OUT BY I 2 c TSG
<br /> NEW 2„DOMESTIC SERVICE. 61039449
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<br /> SEWER SERVICE"
<br /> PERMIT NO. PERMIT TYPE 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 14.08.260
<br /> INSPECTED BY. - _ I DATE
<br /> FEES
<br /> f WATER UTILITY FEE :. $4,450.00 Z Oil 6
<br /> 11,
<br /> i - MAR -0"2 2018
<br /> {
<br /> CITY OF EVERETT
<br /> Permit Services
<br /> TOTAL FEES $4,450.00
<br /> PERMIT NUMBER U1802-040 '
<br /> UTILITIES COPY
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