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UTILITIES CITY OF EVERETT <br /> #1111:-A. <br /> PERMIT SERVICES <br /> PENT 3200 CEDAR STREET <br /> 40 Z(�(°ll3�� EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1901-024 DATE: <br /> JOB ADDRESS 2325 ADAMS AVE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"NEW DOMESTIC WATER,NEW CONN TO SEWER APN: <br /> 00545002302900 <br /> OWNER A& P HOLDINGS LLC TENANT <br /> PO BOX 1395 CONTRACTOR <br /> LAKE STEVENS WA 98258 A& P HOLDINGS LLC <br /> PO BOX 1395 <br /> LAKE STEVENS WA 98258 <br /> PHONE 4255082465 I itt <br /> PHONE 4255082465 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 3/4" DOM/FI 0.00 SO-14361 APP-19345 <br /> SETTER INSTALLATION DATE <br /> TEe 15(ti.1 I 1 BY y t'F <br /> METER NO. 'i VI5IQO° SIZE <br /> 61`���)4 3(4" <br /> I/41I <br /> #1 BACKFLOW DEVICE SERIAL NO._, _ __ __ <br /> R.F.NO. '5/S�J�491$ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND 0•r/y-1AJ.W -- <br /> J�� MODEL NO. <br /> c <br /> METER ISTALLATION DATE�J 14(Ifk -' (By <br /> WATER ON OFF I LOCKED OUT BY T b F <br /> TSG <br /> 3/4"COMPLETE SERVICE <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. <br /> SP-17928 PERMIT TYPE I LID NO I <br /> NEW CONNECTION <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 /> NEW CONNECTION <br /> INSPECTED BY I DATE <br /> FEES rOIN)F-8 -.' <br /> Atv7J201i 4 <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWET $5,121.00 `I ERETT <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 CITY OF E • <br /> WATER UTILITY FEE <br /> $3,135.00 Permit ServjCeS <br /> TOTAL FEES $12,283.00 <br /> IPERMIT NUMBER U1901-024 I <br /> UTILITIES COPY <br />