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<br /> 'Y OF EVERETT
<br /> wy S
<br /> PERMIT SERVICES
<br /> '„ ,'',.',-,<Z ; PERMIT 3200 CEDAR STREET
<br /> EVERETI,WA 98201
<br /> PERMIT NUMBER U1706-043 - DATE.
<br /> JOB ADDRESS', 2 112TH ST SW#A&'#B I EGALDESCRIl'TION
<br /> DESCRIPTION WATER&SEWER(#A),SYS DEV”(#A8&#B)FOR NEW DUPLE APN. 28042400405700
<br /> OWNER BRESKE FRED TENANT
<br /> 6621 FOSTER SLOUGH RD CONTRACTOR"
<br /> SNOHOMISH WA' 98290
<br /> PHONE 2067159581
<br /> PHONE'
<br /> WATER SERVICE
<br /> SERVICE SIZE SERVICE TYPE.: FRONTAGE - -}IC)OF UNITS SERVICE ORDER NO. - APPLICATION NO.
<br /> 1" DOM/FI 0.00 SO-14015 ` APP-19004
<br /> SEI'IhKINSTALLASION DATE" BY
<br /> METBRNO. SIZE ,c#I BACKFLOW DEVICE-SERIAL NO;.
<br /> `R.P.NO I #2 BACKFLOW DEVICE SERIAL NO."
<br /> BRAND
<br /> MODEL NO.
<br /> METER I"STALLATION DATE.' BY -
<br /> WATER ON_ OFF_ LOCKED OUT BY
<br /> REMARKS: SPRINKLERS READ.DUPLEX OUTSIDE OF CITY LIMITS ON EVERETT SEWER&WATER.THIS PERMIT COVERS WATER
<br /> FOR UNIT A
<br /> ISEWER SERVICE
<br /> PERMIT NO. SP-17296" PERMIT TYPE NEW CONNECTION "I LEDNO.
<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 /> DUPLEX OUTSIDE OF CITY LIMITS'ON EVERETT SEWER&WATER.THIS"PERMIT COVERS SEWER FOR UNIT A&SYS DEV FOR UNITS A&B.A
<br /> CREDIT OF$3528 APPLIED FOR WATER CONNECTION OF DEMO'D SFR.
<br /> INSPECTED BY - I DATE:
<br /> SEWER UTILITY FEE $70.00 - s a"(] j)�
<br /> SYS DEV FEE OUTSIDE-CITY SURCH $2,314.75
<br /> SYSTEM DEVELOPMENT FEES-RESII $9,259.00
<br /> WATER UTILITY FEE $2,900.00 AUG 1 4 2018.
<br /> CITY OF EVERETT
<br /> TOTAL FEES $14,543.75. Permit Services
<br /> I PERMIT NUMBER U1706-043
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<br /> ADDRESS COPY
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