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° -i UTILITIES CITY OF EVERETT <br /> ,re-n PERMIT SERVICES <br /> -i, _ PERMIT= 320o CEDAR STREET <br /> � : <br /> y _` EVERETT,WA 98201 <br /> X425)2578810 ', <br /> PERIVII'NUMBER U1810=004 DATE:' <br /> JOB ADDRESS ,10200 19TH AVE SE ,LEGAL DESCRIPTION <br /> DESCRIPTION 6"TAP ON 8"WATER MAIN AND CONNECT TO CONTRACT(. APN: 28051900101000 <br /> OWNER COSTCO WHOLESALE CORP TENANT. <br /> 999 LAKE DR CONTRACTOR <br /> ISSAQUAH WA 98027 <br /> PHONE . <br /> PHONE: <br /> WATER SERVICE <br /> SERVICE SIZE - SERVICE TYPE FRONTAGE -NO.OF UNITS SERVICE ORDER NO' APPLICATION NO <br /> 6" FIRE 0.00 , SO-14335 APP 19321 <br /> SETFERINSTALLAATZONDAT jp JJ -yy Ex �, p - -` <br /> METERNO `�S 1&f0 T SIZE /Q�1.c Silt #I BACKFLOW DEVICE SERIALNO. j 1 O <br /> R.F.NO. - 11111111III 11111111111II11111 �\' #2 BACKFLOWDEVICESERIALNO NC II 5 <br /> :BRAND I\leptun.e: \,_:11 548448246, - MODE,NO350 AST DA <br /> 1�9ET'ERIST}IILATIONDATE'::I O 20i ii BX -P 5 ..,� — `I <br /> ED2B11 RWF3 �= <br /> .,WATER ON�-'OFF_-.LOCKED OUT BY -1 518 x:314^ M 7 TSG <br /> 6"'TAP ON 8"WATER MAIN AND CONNECT T( 6896677 r,FOR FIRE SERVICE <br /> REMARKS: .`:' 1111111' 1I1111111111111111111111E11111111, • ,. :�._ <br /> SEWER SERVICE - -, , <br /> PERMIT,NO. PERMITTYPE NEW CONNECTION SLID NO - <br /> ,. . <br /> MARKS; Please Note The City'is responsible.for structural defects in the side sewer on the City'ROW side per EMC 14.08.260 <br /> ' - ;'SPECTHD BY � RATE- - _ <br /> } <br /> FEES <br /> WATERUTIL-fTY FEE $10 659 00 � J <br /> OCT 022018 <br /> CITY OF:EVERETT <br /> Permit Services <br /> TOTAL FEES $10,659.00 <br /> PERMIT NUMBER; U1810-004 <br /> UTILITIES COPY <br />