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10502 15TH DR SE BLDG J 2019-09-12
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10502 15TH DR SE BLDG J 2019-09-12
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Last modified
9/12/2019 10:49:13 AM
Creation date
9/12/2019 10:49:09 AM
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Address Document
Street Name
15TH DR SE
Street Number
10502
Tenant Name
BLDG J
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' UTILITIES <br /> CITY OF EVERETT <br /> ...„,„,041 ,,,,,........-4-. .,-. PERMIT SERVICES <br /> PERMIT , _ <br /> 3200 CEDAR STREET <br /> 3 - EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER„ U1412-013 DATE: <br /> JOB ADDRESS 10502 15TH DR SE LEGAL DESCON <br /> DESCRIPTION WATER,SEWER, SYS DEV FEES FOR NEW TOWNHOME APN: 28051900103200 <br /> OWNER. NORTH.LAKE COURT LLC. TENANT <br /> 17921 BQTHELL EVERETT HWY#100 CONTRACTOR OWNER <br /> BOTHELL, WA 98012 <br /> PHONE <br /> PHONE <br /> WATER SERVICE. <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4 SFR 1.00 ' SO-13343 APP-18343 <br /> I <br /> SBI LER INSTALLATIONNDDATE: <br /> METER NO .D.6-- <br /> . ) Z 3 i Z ......4"2-.... SIZE. S7 5 BACKFLOW DEVICE SERIAL NO. <br /> BRAND I MODEL NO. <br /> METER ISTALLATION DATE Z-(q 15 BY 4f11 (e - <br /> WATER ON_ OFF ✓/L.00KED OUT BY. TSG _.. <br /> REMARKS: <br /> I .. . SEWER SERVICE. . f <br /> PERMIT NO PERMIT TYPELID NO. .. I; <br /> SP-153?1,2 NEW CONNECTION �'. <br /> RE]VIARIZS'; Please Note:The'City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY' BATE: <br /> FEES - _ <br /> Sewer Utility Fee $70.00 ,,. <br /> System Development Fees $7,836.00 <br /> Water Utility Fee $480.00 • <br /> JAN 0 2 2015 . <br /> CITY OF'I:VE-RETT <br /> TOTAL FEES $8,386.00 :eCR11..S.:vices. - <br /> PERMIT NUMBER U14112-013 <br /> UTILITY SERVICES COPY <br />
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