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CITY OF EVERETT <br /> UTILITIESREGLVvL E <br /> ' '� PERMIT SERVICES <br /> 3 � qI( PERMIT MAY ° 5 2°15 <br /> 3200 CEDAR STREET <br /> UTILITY „kRV,ES EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-106 DATE LA2-'R 5 <br /> JOB ADDRESS 9318 5TH DR SE L4 ji 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 SEATTLE PACIFIC HOMES <br /> EVERETT WA 98206 120 SW EVERETT MALL WAY <br /> EVERETT WA 98206 <br /> PHONE 4259532800 <br /> PHONE 4259532800 <br /> WATER SERVICE <br /> SERVICE SIZESERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO <br /> 3/4 I SFR 1.00 SO-13479 APP-18479 <br /> SETTER INSTALLATION DATE ` BY - <br /> METER NO 17527' `65 31/ SIZE ✓71? NI BACKFLOW DEVICE SERIAL NO <br /> R F NO. M IR BACKFLOW DEVICE SERIAL NO <br /> BRAND A/9)114.414- f MODEL NO <br /> METER ISTALLAnoryDATE (e- 3 'I. BY 7`-/-/./7 S"/ 93 2"-- <br /> WATER <br /> WATER ON OFF_ LOCKED OUT BY TSG <br /> REMARKS <br /> SEWER SERVICE <br /> PERMIT NO <br /> SP-I5944 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 11 sQ. ,1 n I <br /> •\\1) <br /> Sewer Utility Fee $70.00 j+' . .. 17 <br /> System Development Fees $7,129.00 ppR 2 $ <br /> Water Utility Fee $480.00 + "1. 1 <br /> C)'• ,ices <br /> ,.•ctn . <br /> TOTAL FEES $7,679.00 <br /> PERMIT NUMBER U1504-106 <br /> TOPOSTING 3114( (6 UTILITY SERVICES COPY <br />