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f <br /> UTILITIES CITY OF EVERETT <br /> '44' <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> aZ0.151 (425)257-8810 <br /> PERMIT NUMBER U1505-103 DATE: j///0,15 1 <br /> LEGAL DESCRIPTION <br /> Ioa ADDRESS ]1905 SILVER LAKE DR <br /> DESCRIPTION WATER, SEWER, SYS DEV FEES FOR NEW HOUSE APN: 00574900000700 <br /> OWNER SCOWN BRYAN TENANT <br /> 10803 4TH AVE SE CONTRACTOR G A POWELL CONST INC <br /> EVERETT WA 98208 <br /> 5817 SILVANA TERRACE RD <br /> STANWOOD WA 98292 <br /> PHONE 4257733673 <br /> PHONE 3606522839 <br /> WATER SERVICE <br /> SERVICE SIZE 1 SERVICE TYPE 1 FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> 3/4 SFR 1.00 SO-13496 I APP-18495 <br /> SETTER INSTALLATION DATE 5J -5.--I 1 By 14 L- I <br /> METER NO. '!j' 5)/D/a/(� ✓ SIZE ,/ i/� Ill BACKFLOW DEVICE SERIAL NO. <br /> R.F NO. (i 5- l0 C��pt t IR BACKFLOW DEVICE SERIAL NO. <br /> BRAND A C.' `YI45-C-15'C T MODEL NO. <br /> METER ISTALLATION DATE BY ]�W L. �/ <br /> WATER ON1 OFF_ LOCKED OUT BY 1 L 7 TSG -7• t - l <br /> REMARKS. <br /> SEWER SERVICE <br /> PERMIT NO. SP-16078 PERMITIYPE NEW CONNECTION LID NO. <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 BYE <br /> DATE: <br /> FEES <br /> a t , <br /> Sewer Utility Fee $70.00 rI l <br /> System Development Fees $8,873.00 1, U I <br /> C r1 <br /> Water Utility Fee $2,394.00 I <br /> �•1�.1� // JUN o i 2o�s I! <br /> 11 <br /> TO POSTING Ij) <br /> - YC' <br /> TOTAL FEES $11,337.00 'erl' - <br /> ilCt:_ I <br /> PERMIT NUMBER U1505-103 <br /> UTILITIES COPY / i� <br />