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UTILITIES CITY OF EVERETT f <br /> . EDV PERMIT SERVICES <br /> _ IETT3//4 l5 PERMIT MAY 0 S d . . 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> UTILITY S€ VR1 (425)257-8810 <br /> PERMIT NUMBER U1504-059 DATE: l l ,zk-15 <br /> JOB ADDRESS 9203 5TH DR SE 6O f 3/ LEGAL DESCRIPTION <br /> DESCRIPTION WATER, SEWER,SYS DEV FEES FOR NEW HOUSE APN 28051800302200 <br /> OWNER SEATTLE PACIFIC HOMES TENANT <br /> 120 SW EVERETT MALL WAY CONTRACTOR OWNER <br /> EVERETT WA 98204 <br /> PHONE 4259532800 <br /> PHONE <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 3/4 SFR 1 1.00 SO-13469 APP-18469 <br /> SETTER INSTALLATION DATE BY y/� <br /> METER NO•/`�g `7 4& " 6/f <br /> �T SIZE /V al BACKFLOW DEVICE SERIAL NO <br /> R.F NO. ,/I��}�iy� �, #2 BACKFLOW DEVICE SERIAL NO <br /> A/1101/17441‘,--, <br /> � <br /> BRAND !'��� (4 F l/ 2 7--- <br /> MODEL NO. <br /> METER ISTALLATION/ DATE 6-3-IS BY {�,( /15Y-3 <br /> WATER ON✓ OFF LOCKED OUT BY TSG <br /> REMARKS <br /> ISEWER SERVICE <br /> PERMIT NO SP-15904 PERMIT TYPE NEW CONNECTION I LID NO I <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 I DATE <br /> I FEES <br /> Sewer Utility Fee $70.00 rI <br /> System Development Fees $8,873.00 ` � <br /> Water Utility Fee $480.00 APR 2 R [U15 1.)) <br /> ,._ Y () '7,R2 - <br /> ern.... ..__ iiCes <br /> TOTAL FEES $9,423.00 <br /> o i ! U 1( -1 191 PERMIT NUMBER U1504-059 <br /> UTILITY SERVICES COPY <br /> TO POSTING eg9411 <br /> 1\ <br />