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'Y OF EVERETT <br /> Y * °L ILITIE S _ <br /> PERMIT SERVICES <br /> / ,d PERMIT • <br /> K' 3200 CEDAR STREET <br /> EVERETT•WA 98201 <br /> .(425)257-8810 <br /> PERMIT NUMBER U171"1 019 • DATE' _� `NOV_ <br /> IOC ADDRESS' 6502 EVERGREEN WAY '= • 17 <br /> LEGALDESCRIPTION0+/ <br /> DESCRIPTION TAP 6"DI W/4",CROSS FLEMING ST,.INSTALL 4'"DCDA,IN' •• APN 00393000001500 <br /> OWNER MADISON REAL PROPERTY LLC TENANT <br /> PO"BOX 31609 CONTRACTOR <br /> SEATTLE:. • WA' 98'103 , <br /> PHONE <br /> PHONE <br /> WATER SERVICE_ ` <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 4" FIRE _ 0:00 S0=14177 :APP 19166 " <br /> SETTER ZNSTALLATION"DATE B}" • <br /> 'METER NO SIZE - #I BACKFLOW DEVICE-SERIAL NO _ <br /> RF NO. '#2BACKFLOWDEVICESERIALNO. <br /> BRAND -.MODEL.NO <br /> METER ISTALLATION DATE-. 'BY - <br /> WATER ON OFF_ LOCKED OUT BY TSG <br /> TAP EXISTING 6"at WITH 4",CROSS FLEMING,CONNECT TO CONTRACTOR INSTALLED 4"DI PIPE W/4"DCDA IN VAULT.COE WILL EXCAVATE, <br /> REMARKS' SHORE,RESTORE,PROVIDE TRAFFIC CONTROL,COLD PATCH STREET CROSSING: <br /> CONTRACTOR WILL MAINTAIN PATCH AND ASPHALT LATER <br />:. ., . SEWER SERVICE <br /> PERMIT NO. PERMIT TYPE. LL,ID NO <br /> REMARKS,' 'Please Note:The City is responsible for structural defeets,sn the side sewer"on.the City ROW side._per EMC 14.08.260 <br /> INSPECTED BY - DATE_ - <br /> . I. <br /> ,,,,:. = A ._,.,..._,Eli .- -..,.,-.2.:._-;.-.::,:,,..,,,:„.. : ,- <br /> , . ._ .. __ ...... _ _.. ....,..,.. ,_ , ., ,_ . _..... _ . ... ... FEES z <br /> . ... , .., _ , .. . .. <br /> WATER UTILITY,FEE $6,272.00' N®y I <br /> ' "911 " ? 1017 <br /> C[TY Of �V ERisi, <br /> perm,lt Ser• i 0 <br /> Permit SeNr�e <br /> TOTAL FEES $6,272.00 <br /> PERMIT NUMBER U1711-019 f <br /> ADDRESS COPY <br />