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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT: <br /> 5 3200 CEDAR STREET <br /> 3EVERETT,WA 98201 <br /> (425)257.8810 <br /> PERMIT NUMBEE U1412-026 DATE, <br /> " <br /> JOB ADDRESS 1422 106TH PL SE LEGALDESCRIPTION <br /> DESCRIPTION NEW TOWNHOME UNIT ADN: 28051900103200 <br /> OWNER. NORTHLAICE COURT LLC TENANT <br /> 17921 BOTHELLL EVERETT HWY 1I100 CONTRACTOR OWNER <br /> BOTHELL' WA 98012 <br /> PHONE <br /> PHONE <br /> WATER SERVICE._ .s <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UMTS } SERVICE ORDER NO.- APPLICATION NO. <br /> 3/4' SFR 1.00 SO-13347 I. . APP-18347 <br /> SETTER INSTALLATIONz•.. 3 S l DATE -/1 BY+.. _ 7 <br /> METER NO. I'5 z,3 ��I SIZE 57 f• BACKFLOW DEVICE SERIAL NO <br /> BRP.11DIv' ! - MODEL NO.. <br /> METER ISTALLATION DATE��Z�f �_ BYE✓ - <br /> WATER ON_ OFF LOCKED OUT -.BY .. - TSG <br />.v REMARKS' ,', <br /> • I SEWER SERVICI <br /> PERMIT NO.. - <br /> cSP-15356 PERMIT TYPE NEW CONNECTION' <br /> REMARKS: 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 DATE- <br /> , _ <br /> Sewer Utility Fee $70.00 <br /> System Developsbent Fees $6,296.00 <br /> Water Utility Fee $480.00 JAN 0 2 2015 <br /> CITY OF EVERETT <br /> Permit Services - <br /> TOTAL FEES $6,846.00 <br /> PERMIT NUMBER U1412-026 <br /> • <br /> UTILITY SERVICES COPY <br />