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415 92ND PL SE 2016-06-03
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415 92ND PL SE 2016-06-03
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Last modified
6/3/2016 11:12:37 AM
Creation date
6/3/2016 11:12:23 AM
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Address Document
Street Name
92ND PL SE
Street Number
415
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UTILITIES CITY OF EVERETT <br /> W • <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-115 DATE. <br /> JOB ADDRESS 415 92ND PL 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 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-13484 I APP-18484 <br /> SETTER INSTALLATION DATE BY _ <br /> METER NO. SIZE YI BACKFLOW DEVICE SERIAL NO. <br /> R.F NO. 0 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-15954 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 /> 1/ 1 nsp ecf) <br /> FEES 11 S 0 r I <br /> Sewer Utility Fee $70.00 \.\ APR 2 8 2015 <br /> System Development Fees $7,129.00 <br /> Water Utility Fee $480.00 <br /> :'em... : JtM; <br /> TOTAL FEES $7,679.00 <br /> PERMIT NUMBER U1504-115 <br /> PUBLIC WORKS COPY <br /> TO POSTING -5( 844° <br />
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