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UTILITI-S -
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<br /> PERMIT SERVICES
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<br /> 3200 CEDAR STREET
<br /> EVERETT,WA 982;0.1
<br /> (425)2S T 8810_
<br /> PERMIT,NUMBER U1903 014 DATE
<br /> JOB ADDRESS 'x10221 1 ST;DR SE
<br /> LEGAL DESCRIPTION_
<br /> DESCRIPTiOI' ' �WATE-R,SEWER CONN_ECTION FOR LO 2 _if Al'N
<br /> 00396900001280
<br /> 1:.
<br /> MOORE BRADLE `ANGELA D,,:, TENANT
<br /> 10221 1S' M - CONTRACTOR
<br /> EV T< WA 98208 3963
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<br /> PHONE
<br /> = WAER SERVICE ,
<br /> SERVICE SIZE _ _ SERVICE TYPE -- FRONTAGE ANO OF UNITS - SERVICE ORDER NO'" : APPLICATION NO-
<br /> 0,00
<br /> -SETTER INSTALLATION DATE -1--.=F- - BY:• "' - - -
<br /> METERNO-N(/ "v SIZE - - - #2 BACKFLOW DEVICE,SERTALNO- - __ --
<br /> - - _ "#2 B_ACKFLOWDEVICE SERIAL NO:-'=' - - - - -
<br /> -- - MODEL NO-- - - - _
<br /> METER IS'I'ALLATION DATE - BY - ._ - _ -
<br /> -WATER ON -- OFF LOCKED OOt l4BY H"�" - - - TSG I—%-}—` _
<br /> "INSTALL ETER BOX ONLY FORPRELIMINARYSHORT-PLAT(SS16 005)DEVELOPMENX SUBTRACTED COST OF .�- 'O COMTLETE.
<br /> REMARKS :SERVICE"FEE METER ONLY AND SYSTEM DEVELOPMENT FEES,TO BE PAID:FOR,AND ISSUED UNDER-SEPARATE �,l wI+ N"P ITS FOR
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<br /> SEWER ERVICE �y f , cs
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<br /> PERMITNO PERMITTYPE I?LIDNO '
<br /> NE W CONNECTION �=�
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<br /> REMARKS: Please Note The City Is responsible for structural defects in the side sewer on the City ROW side per C , ,
<br /> SEWER CONNECTION FOR NEW LOT 2 FOR PRELIMINARY SHORT'PLAT SSI6-005 r
<br /> -INSlECI'ED BY • -,---,i-_-- - -
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<br /> _ FEES s
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<br /> SEWER UTILITYFEE . $70,00 --'7..t'a-:t10-- '-'7,"):-...- _- -- .--r__,.
<br /> WATER UTILITY FEE _ $2 530.00
<br /> MAR- 0-8-2019 _;
<br /> CITY OF:EVERETT :
<br /> Permit Services -
<br /> TO`T'AL FEES $2,600:00
<br /> PERIVIITIVI7MBER; U1903 014
<br /> UTILITIES
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