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_. UTILITIES <br /> CITY OF EVERETT <br /> #1111:-A PERMIT SERVICES <br /> _ PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-059 DATE: V/gg J4 <br /> JOB ADDRESS 9203 5TH DR SE LEGAL DESCRIPTION V "-/ <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 /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 3/4 SFR I 1.00 SO-13469 APP-18469 <br /> SETTER INSTALLATION DATE BY <br /> METER NO _ __ SIZE _ 41 BACKFLOW DEVICE SERIAL NO <br /> R F NO. 42 BACKFLOW DEVICE SERIAL NO <br /> BRAND MODEL NO <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS <br /> SEWER 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 /> ' I INSPECTED BY DATE, <br /> Y‘210C ..... 6/:?. 7 7._ /s <br /> FEES - _ _ 11 <br /> Sewer Utility Fee $70.00 <br /> System Development Fees $8,873.00 1 �( V <br /> Water Utility Fee $480.00 `J g <br /> APR 2 8 101 l <br /> r <br /> TOTAL FEES $9,423.00 __.,,,e�' .r,1.:, <br /> J1:, <br /> IPERMIT NUMBER U1504-059 I <br /> TO POSTING 1 ` <br /> /^5(///b PUBLIC WORKS COPY <br />