1484_001.pdfCITY OF EDMOI{DS
I2I 5TH AVENUENORTH - EDMONDS, V/A 98020
PHONE; (425)771-0220 - FAX: (425)771-0221'!1c- l
STATUS: ISST]ED 8NG20190128
WATER METER RECORD
Permit Number: ENG20 I 90128
Job Address:713 SPRUCE S EDMONDS
PROPERTYOWNER CONTRACTOR
SELECT HOMES INC.
1653I I3TH AVE W SUITE AI OT
LYNNWOOD, WA 98036-
SELECT HOMES INC-
I653I 13TH AVE W SUITE AIOT
LYNNWOOD, WA 98036-
(206) e63-3787
LICENSE #: SELECHII 1OKN EXP: 12/31/2019
.IOB DESCRIPTION
DESCRIPTION OF V/ORK:
INSTALLl'' WATERMETER
NEW SERVICE FROM CITY MAIN TO PROPERTY LINE
ASPHALT/CONCR.ETECUT
FINAL PATCH BY CONTRA CTOR
OWNERNAME: SELECTHOMES
BILLINGADDRESS: 16531 l3TH AVEV/ STEA107 LY\INW wA 98037
INSTALLATION FEE: $2,970.00
CONNECTION FEE: $5.050.00
STREtrI CUT DEFOSIT: $0.00
Y
N
N
N
SFR
DUPLEX
TRIPLEX
N
N
N
IRRIGATION
FIRECONNECTION
OTFIER:
N
N
APARTMENT / CONDO - UNITS:
MDGD USFCOMMERCIA L FLOORS:
RBSIDENTIALUNITS: O
0
0
COMBO FIRSDOMESTIC BACKFI,OV/ A SSEI\4BLY REQUIRED
METER ST7.F; ltt
N
N
N
P T JB LIC WORI(S INSTALLATION-TIILITY B ILLING
I.OCKU)
METERNUMBER:
STYLE:
T]NI,OCKU)PROJECTNUMBER:
tocATEREQUEST#:
DATECALLED:
MSIERREADING
MANUFACTURERS#:
METERLOCATION:
SERVICEMATENAL:
DATEOF WORK:
REMARKS:
U/B ACCOUNT:
AND
REGISTER#
PRESSURE: O
WORKBY
GPM:0
* {. {.ATTACH DRAWTNG WHEN NECESSAI{Y* * *
ROUTE:
V/ATER SLIPPLIER:READ AFTERADDRESS:
ISSUED 8NG20190128
wATElr ME]'ER-S'|-REEI ( I il'
TYPEOFRPAIR AREA RPAIRU)RPAIRCOST
A s phalt Ro adway/Walkway
Concrete Sidewalk
Concrete Ctrrb
( Ft X Ft): Sq.Yds
( Ft X Ft): Sq.Yds
( Ft X Ft): Sq.Yds
FtX Ft
FtX Ft
FtX Ft
)= Sq.Yds
)= Sq.Yds
): Sq.Yds
Lineal Ft
Lïneal-Ft
Lineal Ft
Total Repair Costs:
læss Street Cut Deposit:
Invoice/Reftnd:
$0.00