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UTILITIES CITY OF EVERETT <br /> #111111.44:/—,4111; PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1212-015 DATE: //1 Z9,3 <br /> JOB ADDRESS 2516 TAYLOR DR LOT 1 LEGAL DESCRIPTION // u/ <br /> DESCRIPTION SEWER&SYS DEV FEES FOR NEW HOUSE APN: 00417000200600 <br /> OWNER MUSTACHE LAND DEVELOPMENT TENANT <br /> PO BOX 12176 CONTRACTOR SIGNATURE HOMES <br /> BOTHELL WA 98082 PO BOX 12176 <br /> MILL CREEK WA 98082 <br /> PHONE 4252440549 <br /> PHONE 4252440549 <br /> WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO I APPLICATION NO. <br /> 1.00 <br /> I SE i I ER INSTALLATION DATE BY <br /> METER NO. SIZE BACKFLOW DEVICE SERIAL NO <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY . <br /> pa <br /> ClWATER ON_OFF_ LOCKED OUT BY TSG �I • C <br /> F--,I--• 1--'•I""F-`I--`I--` I...+. Iii lil <br /> REMARKS: 1"WATER METER ALREADY PAID FOR&INSTALLED AT SHOR LAT�lYrSB_IE £rFE$-1$ . 10 FOR'2763 SQ FT <br /> HOME-$4629(CREDIT FOR PREVIOSULY DEMOD HOME THAT A3r2 F115 RfIRCODE N•'4.4 o <br /> C7 C1.. S G-D m <br /> t--- <br /> I SEWER SERVICE ' d .+J V I <br /> t� CP 1 <br /> CA 1-``p <br /> • ci <br /> mum'NO. SP-14725 P NEW CONNECTION LID Na <br /> REMARKS: THERE N EXISTING SEWER LINE THAT CAN BE UNCAPPED AND `*'�; Ht7 S�SDE�Ln&CAPPED <br /> SE co', I�o�`e <br /> ...r8E....,.›,57r;Loh8,./i2p,.. /3, ....c. <br /> INSPECTED BY: <br /> t--"...-----Cid, 7''_,Z. C3 r....4 t--.. <br /> ems. <br /> I FEES I <br /> Sewer Utility Fee $60.00 <br /> System Development Fees $1,132.00 <br /> TO POSTING .1 3.!co <br /> TOTAL FEES $1,192.00 <br /> PERMIT NUMBER U1212-015 <br /> PUBLIC WORKS COPY <br />