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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1503-121 DATE. y/ado <br /> JOB ADDREl ,9394-5TH DR SE 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 98206 <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-13451 APP-18451 <br /> SETTER INSTALLATION DATE BY <br /> METER NO SITE MI BACKFLOW DEVICE SERIAL NO. <br /> R NO. Y2 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-15819 PERMIT TYPE NEW CONNECTION I 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 \`/ k L c'nO n I DATE- 5� I _ I <br /> T` 1 11 ``•/]\ FEES <br /> Sewer Utility Fee $70.00 <br /> System Development Fees $8,873.00 I S NJ�J flv E <br /> Water Utility Fee $480.00 <br /> APR 0 2 2015 <br /> • �F � a <br /> TOTAL FEES $9,423.00 '',3erm.. 'ices <br /> PERMIT NUMBER U1503-121 <br /> TOPOSTING /( Z/'�' PUBLIC WORKS COPY <br />