ENG2022-0119 WATER METER PERMIT (2)O
WATER METE - D PERMIT NUMBlE
City of • • •
Edmonds WA 91 1 19
www.edmondswa.gov425.771.0220
• ' INFORMATION
WATER METER SIZE: ISSUED: 05/20/2022
SITE ADDRESS: 15722 72ND AVE W EDMONDS WA 98026
IRRIGATION ONLY: FIRE SPRINKLING: YES APARTMENT/CONDO UNITS: 0
•
NAME TYPE NAME ADDRESS PHONE
APPLICANT
BRENT HEATH
5021 216TH PLACE SE, BOTHELL WA 98021
(425)486-4049
BILLING CONTACT
KEVIN W & HATHAWAY
HEATHER D
583 BATTERY ST, 508N, SEATTLE WA 98121
CONTACT
E & H CONSTRUCTION CO
5021 216TH PLACE SE, BOTHELL WA 98021
(206)234-1932
CONTRACTOR
E &H CONSTRUCTION CO
5021 216TH PL SE, BOTHELL WA 98021
(206)234-1932
OWNER KEVIN W & HATHAWAY HE 583 BATTERY ST 508N, SEATTLE WA 98121
KECK
FEE INFORMATION
DESCRIPTION AMOUNT PAID PAID DATE
WATER GENERAL FACILITY CHARGE $5,050.00 $5,050.00 5/17/22
WATER METER 1 INCH $2,970.00 $2,970.00 5/17/22
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,• 425.771.0235
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
RELEASED BY
DATE
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