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�--� = 1 5 7 CITY OF EVERETT <br /> 116.1,/,f--/79zici/ <br /> UTILI IE <br /> EVERETT PERMIT SERVICES <br /> WASH I NGTON PERMIT <br /> 3200 CEDAR STREET <br /> .rf- EVERETT,WA 98201 <br /> 2O2 f 15 j 5A 4-- //0 i c.C63 6 (425)257-8810 <br /> PERMIT NUMBER U2106-006 DATE <br /> JOB ADDRESS 9725 31ST AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION LOT 1 -NEW COMPLETE 3/4"WATER AND SWR AND SYS£ APN: 28051700404700 <br /> OWNER ROSHOLT TODD J&JENNIFER D TENANT <br /> 15408 35TH DR SE CONTRACTOR OWNER <br /> BOTHELL WA 98012 <br /> PHONE <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14697 APP-19676 <br /> ` .7 <br /> SETTER INSTALLATION DATE i a i 1 �' BY 4�� <br /> METER NO. 14 SIZE �'?1 t <br /> #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND t ,�r*),,2• '`" MODEL NO. <br /> METER ISTALLATION DATE , ' BY 1--k 1�a^M <br /> WATER ON_ OFF ', LOCKED OUT BY _ TSG <br /> LOT 1-NEW COMPLETE 3/4"WATER AND SWR AND SYS DEV FEES--25%SURCHARGE FOR OUTSIDE CITY LIMITS <br /> REMARKS: <br /> 7'ati �''`i i -ti. <br /> PERMIT NO. SP-18704 PE*, .-a h 5 r - ^`\ �' .4' i, '+\J') <br /> REMARKS: Please Note:The City is responsible for structui, =Io E -...,..,,,r :'") ,� �� o •s = r <br /> _, O• • C N N d <br /> ZI tom_� L m L C 5 .E O E <br /> i <br /> I n� = 1 T X .0 N N "O C C <br /> INSPECTED BY: I / = t.•:. p Q a = m �0 <br /> F. o o <br /> f C , = L <br /> I Y/ W L IL' _ C1 C. <br /> A L y y •T ` '2 E O ..- <br /> Zw C 'irii d m N N N w <br /> W g a N E 8 g .F <br /> SEWER UTILITY FEE $70.00 _ o °' 2 o 8- w <br /> LLN 1 p Yn i l <br /> � F W O) � fC <br /> SYS DEV SEWER OUTSIDE CITY SUR $1,355:50 ;,�:,. a • B <br /> SYS DEV WATER OUTSIDE CITY SUR $1,047.50 ` .2) <br /> 3 <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,422.00 - ,w v V a LUL i • L/ <br /> SYSTEM DEVELOPMENT FEE WATEF $4,190.00U <br /> WATER UTILITY FEE $3,260.00 CITY OF EVERETT <br /> TOTAL FEES $15,345.00 Permit Services <br /> PERMIT NUMBER U2106-006 <br /> UTILITIES COPY <br />