1182_001.pdfCITY OF EDMONIDS
I21 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425) 77 l0n0 - F AX: (425) 77 1 -0221
STATUS: ISSUED 8NG20190160
WATER METER RECORD
Permit Number: ENG20l 901 60
t¡¡llla^^tìñ^rrrrJOD -É\UUreSS: OJv Zl\ t-' .Á\ V E l\Et_,lvt(.,l\ lJ¡r
PIIOPE,Rry OWNF],R (]ONTRAC'IOR
SALLY WASSAI,I,
342 SUNSET AVE N
EDMONDS, WA 98020
SCOTT DELAP
35I7 95TH PL SE
EVERETT, WA 98208
(206) 819-67 s7
LICENSE#: SCOTTDC970B1 EXP 0210612021
JOB DüiCRII'TION
DESCRIPTION OF WORK:
I INCH ME"|ER AND I INCH CONNECTION DUE TO NLMBER OF FIXTURLS
NEW SERVICE FROM CITYMAIN TO PROPERTY LINE
A SPFIA IJI/CONCRETE CIJT
FINAL PA TCH BY CONTRA CTOR
OWNERNAME: CASPERS LT.C
BILLINGADDRESS: 342 SLINSET AVEN EDMONDS, V/A 98020
INSTALTATION FEE $2,970.00
CONNECTION FEB $12,624.00
STREET CUT DEPOSIT: $0.00
Y
N
N
N
SFR
DUPLÐ(
TRIPLÐ(
N
N
N
IRzuGATION
FIRECONNECTION
OTHER:
N
N
APARTMENT / CONDO- UNITS:
MIXED USDCOMMERCIA L FLOORS:
RES]DENTIALUN]TS: O
0
0
COMBO FIRRDOMESTIC BACKFTOV/ A SSEMBLY REQUIRED
TER SIZf,': 1"
N
N
N
P I JB LIC WO RI(S INS T'A LLATION-T rIILITY B ILLING
I-/OCKIX)
METERNUMBER:
STYLE:
TJNI,OCKU)PROJECTNUMBER:
LOCATEREQUEST#.
DATECALLED:
AND
REGISTER#
PRESSURE: O
WORKBY
@M:0
METERREADING
MANUFACTURERS #:
METERT,OCATION:
SERVICEMATERIAL:
DATEOF WORK:
REMARKS:
U/BACCOUNT:
* * :I.A]TACH DRAWING V/HEN NECESSAI{Y* * *
ROUTE:
V/ATER SUPPLIER:READ AFTER ADDRESS:
ISSUED 8NG20190160
wAl-ER MI'|'ER-S'|'I{EEì' ( I n
TYPEOFRPAIR
f--l Asphalt Roadway/Walkway
C-oncrete Sidewalk
l-l Concrete Cbrb
AREARPAIRU)RPAIRCOST
: Sq. Yds: Sq. Yds
= Sq. Yds
FtX Ft
FtX Ft
FtX Ft
Fr X Fr):
Fr X Fr):
Fr X Ft):
Sq. Yds
Sq. Yds
Sq. Yds
Lineal Ft
Lineal Ft
Lineal Ft
Total Repair Costs:
l¡ss Street Cut Deposit:
Invoice/Refirnd:
$0.00