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CITY OF EVERETT <br /> `■. UTILITIES <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> ftOttelY lr (425)257-8810 <br /> PERMIT NUMBER U2202-008 DATE <br /> JOB ADDRESS 10318 EVERGREEN WAY LEGAL DESCRIPTION <br /> DESCRIPTION 1"COMPLETE DOMESTIC, SYS DEV FEE&SEWER CONNE( APN: 00535200001001 <br /> OWNER S R KLEIN FISH-ON INVESTMENTS LLC TENANT WOODS COFFEE <br /> PO BOX 3830 CONTRACTOR KUGEL CONSTRUCTION <br /> EVERETT WA 98213 1722 BISHOP RD#8713 <br /> CHEHALIS WA 98532 <br /> PHONE <br /> O 10 S PHONE 3602193555 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER.NO. APPLICATION NQ <br /> 0.00 <br /> Sht ttlt INSTALLATION DATE 6-VA_vL BY FML <br /> METER NO. `�U ti 1 6 I ATE' r II BACKFLOW DEVICE SERIAL NO. <br /> NQ 15757 IIIII2207Q7III030 II11 <br /> III r2BACKFLOW DEVICE SERIAL NO. <br /> p`.,tr� <br /> BRAND 1_ ` tJ 'L MODEL NO. <br /> METER ISTALLAT'ION DAT$ 6 2 M�1lEY I Mt-- <br /> WATERON_L`OFF_ LOCKED OUT BY 'ML TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT No. PERK FTYPE WATER&SIDE SEW I <br /> LID Na <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: <br /> I DATE <br /> FEES <br /> SEWER UTILITY FEE $70.00 aUk <br /> SYSTEM DEVELOPMENT FEE SEWEI $9,318.00 APR DEVELOPMENT FEE WATEF $7,200.00 APR 26 20?2 <br /> WATER UTILITY FEE $3,260.00 <br /> CI T y o„ <br /> rerm`t se x•IVE TT <br /> TOTAL FEES $19,848.00 vices <br /> PERMIT NUMBER U2202-008 <br /> UTILITIES COPY <br />