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TTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASH I NGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1906-016 DATE 4 JT11 <br /> JOB ADDRESS 812 35TH ST LEGAL DESCRIPTION <br /> DESCRIPTION NEW SEWER CONNECTION&3/4"DOMESTIC WATER SER\' APN: 00548500000400 <br /> OWNER RUCKER HILL DEVELOPMENT LLC TENANT <br /> 13413 106TH DR SE <br /> SNOHOMISH CONTRACTOR OWNER <br /> WA 98296 <br /> PHONE 4253300270 <br /> PHONE <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS <br /> SERVICE ORDER NO. APPLICATION NO <br /> 3/4" SFR 0.00 <br /> SO-14435 APP-19421 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE <br /> NI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. <br /> #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY <br /> TSG <br /> 3/4"SERVICE <br /> REMARKS: <br /> ISEWER SERVICE <br /> 1 <br /> i PERMIT NO SP-1 8060 <br /> PERMIT TYPE NEW CONNECTION I 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 /> NEW CONNECTION <br /> INSPECTED BY: I <br /> DATE <br /> IFEES <br /> I <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 t' � "..__, <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00191 <br /> _ ! � <br /> WATER UTILITY FEE $3,135.00 <br /> to 1 1 <br /> CITY OF EVERETT <br /> TOTAL FEES $12,283.00 <br /> IPERMIT NUMBER U1906-016 <br /> ADDRESS COPY <br />