1483_001.pdfCITY OF EDMO\IDS
I2I 5TH A\iENUENORTH - EDMONDS, WA 98020
PHONE: (425)77l-0220 - FAX: (425)771-0221c. l8
STATUS: ISSTIED 8NG20190129
WATER METER RECORD
Permit Number: ENG20 I 9 0 1 29
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PROPERTYOWNER CONTRAC1'OR
SELECT HOMES INC.
I653I 13TH AVE W SUITE AIOT
LYNNWOOD, WA 98036-
SELECT HOMES INC.
I6531 I3TH AVE W SUITE AIOT
LYNNWOOD, WA 98036-
(42s) 742-6044
LICENSE #: SELECHII 1OKN EXP: l2/3112019
JOB DUiCRIPTION
DESCRIPTION OF WORK:
INSTALL I " WATER METER V/ITH 1 I/2 PE WITH TRACER WIRE
NEW SERVICE FROM CITYMAIN TO PROPERTYLINE
ASPHALT/CONCRETECUT
FINAL PATCF{ BY CONTRACTOR
O'WNERNAME:
BILLINGADDRESS:
SELECT HOMES INC
I653I I3THAVEW STEAIOT L\NNW wA 98037
INSTALT-ATION FEE: $2,970.00
CONNECTION FEE: $5.050.00
STREET CUT DEPOSIT: $0.00
N
N
N
N
N
N
N
SFR
DUPLEX
TRIPLEX
IRRIGATION
FIRECONNECTION
OTHER:
N
N
APARTMENT/ CONDO - UNITS: 0
MIXEDUSËCOMMERCIALFLOORS: O
RESIDENTIAI-UmfS: O
COMBO FIRUDOMESTIC BA CKFT,OV/ A SSEMBLY REQUIRED
TER SIZF.: l"
N
N
N
PT IB LIC WORI(S INS TALLATION-I IIILITY B ILLTNG
I-OCKU)
METERNUMBER:
STYLE:
T]NI,OCKU)PROJECTNUMBER:
LOCATEREQUEST #:
DATECALLED:
MEIERREADING
MANUFACTURERS#:
METERLOCATION:
SER\4CEMATERIAL:
DATEOF WORK:
REIVIARKS:
U/BACCOL]NT
AND
REGISTER#:
PRESSURE: O
V/ORKBY
GPM:0
"
* "ATTACH DRAV/ING WFIEN NECESSAIIY'" * *
ROUTE:
WATERSTIPPLIER:READ AFTERADDRESS
ISSUED 8NG20190129
\\/A l-l.lll MtTEll-s'l'll.tltll' ( ll JT
TYPEOF'RP,AIR
l---l Asphalt Roadway/Walkway
Concrete Sidewalk
l-l Concrete C\rrb
AREARPAIRTI)RPAIRCOST
( Ft X Ft): Sq.Yds
( Ft x Ft): Sq.Yds
( Ft X Ft): Sq.Yds
( Ft X Ft)= Sq.Yds
( Ft X Ft)= Sq.Yds
( Ft X Ft): Sq.Yds
Lineal Ft
Lineal-Ft
Lineal Ft
Total Repair Costs:
læss Street Cut Deposit:
Invoice/Refund:
$0.00