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UTILITIES kEC pVE. CITY OF EVERETT <br /> 4 11 PERMIT MAY 0 _„w <br /> PERMIT SERVICES <br /> 3200 CEDAR STREET <br /> 1 ITILITY 9ERVICL EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-060 DATE 2—IS <br /> JOB ADDRESS 9219 5TH DR SE 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 /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO. <br /> 3/4 SFR 1.00 SO-13470 APP-18470 <br /> SETTER INSTALLATION DATE __ BY <br /> METER NO /e6Z76 45.37 SIZE 5/r <br /> SI BACKFLOW DEVICE SERIAL NO <br /> R F NO. I/ _ 52 BACKFLOW DEVICE SERIAL NO _ <br /> BRAND /v / /.k_3 t� L <br /> MODEL NO. <br /> METER ISTALLAT10N DATE ✓ /s BY 4-75/13 <br /> WATER ON OFF LOCKED OUT BY TSG <br /> REMARKS <br /> SEWER SERVICE <br /> PERMIT <br /> NO SP-15905 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 /> FEES 'I�, <br /> Sewer Utility Fee $70.00 n s a J r , <br /> System Development Fees $8,873.00 <br /> Water Utility Fee $480.00 APR 2 8 2015 <br /> 10 <br /> _. <br /> ' 0' .i7tK7 _- <br /> TOTAL FEES $9,423.00 <br /> 0 g /CO—i/ -7G i f PERMIT NUMBER U1504-060 <br /> T^ ")STING 3$11 <br /> 6 UTILITY SERVICES COPY <br />