Water Meter RecordWATER
METER RECORD
PERMIT NUMBE
City of • • •
Ave98020 ENG2022-005
www.edmondswa.gov
•• INFORMATION
WATER METER SIZE: 6 INCH FIRE CONNECTION ONLY ISSUED: 03/21/2022
SITE ADDRESS: 21200 72ND AVE W EDMONDS WA 98026-7700
IRRIGATION ONLY:
FIRE SPRINKLING: APARTMENT/CONDO UNITS: 0
CONTACTS
NAME TYPE
NAME
ADDRESS PHONE
APPLICANT
MARK MILLER
38 NW DAVIS ST 300, PORTLAND OR 97209
(503)952-1397
CONTACT
ANKROM MOISAN
38 NW DAVIS ST NW DAVIS ST, PORTLAND OR 97209
(503)952-1563
ARCHITECTS
CONTRACTOR
CADB CATALYST
130 E RANDOLPH ST STE 2100, CHICAGO IL 60601
(312)466-4016
CONSTRUCTION
OWNER
JAS GROUP LLC
3833 W LAKE SAMMAMISH PKWY SE, BELLEVUE WA
98008
FEE INFORMATION
PUBLIC
WORKS -UTILITY•• •
METER NUMBER: 0
UTILITY BILLING ACCOUNT:
REGISTER NUMBER: 0
BRAND:
METER LOCATION:
SERVICE MATERIAL/SIZE:
INSTALLATION DATE:
INSTALLED BY:
READ AFTER ADDRESS:
ROUTE: 0
MXU NUMBER:
ADDITIONAL INFORMATION:
TO SCHEDULE
INSTALLATION,
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
RELEASED BY
DATE
Printed: Monday, March 21, 2022 2:15:56 PM 1 of 1