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���������� CITY OF EVERETT <br /> UTILITIES R7- <br /> 41r="A' . 5 PERMIT SERVICES <br /> Li� b PERMIT 3200 CEDAR STREET <br /> 3 !��I�I�� SERVICES EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-107 DATE: L\--.2 Q t' <br /> JOB ADDRESS 9215 5TH DR SE (/)—t-- a / LEGAL DESCRIPTION U <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 SEATTLE PACIFIC HOMES <br /> 120 SW EVERETT MALL WAY <br /> PHONE 4259532800 <br /> PHONE 4259532800 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 3/4 SFR 1.00 SO-13483 APP-18483 <br /> SETTER INSTALLATION DATE BY Q <br /> METER NO. /5 5 2-7 b `167 SIZE '/G7 SI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 2,,�I�../J� #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND �el:).X4,11"— � MODEL NO <br /> METER ISTALLATIO ATE// 3 �[I5" BY T 757 C`/T <br /> WATER ON OFF_ LOCKED OUT BY / (�7 y <br /> TSG <br /> REMARKS <br /> ISEWER SERVICE I <br /> PERMIT No. SP-15946 PERMIT TYPE NEW CONNECTION 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 /> INSPECTED BY. I DATE <br /> IFEES I <br /> \\B Li' u T- <br /> Sewer Utility Fee $70.00 <br /> System Development Fees $8,873.00 <br /> APR <br /> 8 2015 <br /> Water Utility Fee $480.00 f'�r <br /> %ern: • <br /> rice <br /> TOTAL FEES $9,423.00 <br /> 0q/14,111 (1P PERMIT NUMBER U1504-107 <br /> 1STINr31 ff° <br /> UTILITY SERVICES COPY <br /> 1 <br />