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UTILITIES CITY OF EVERETT <br /> W <br /> PERMIT PERMIT SERVICES <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-050 DATE: 7/d yao 5 <br /> JOB ADDRESS 17 115TH ST SE LEGAL DESCRIPTION <br /> DESCRIPTION WATER,SEWER&SYS DEV FEES FOR NEW HOUSE APN: 00573600002400 <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 <br /> ORDER NO APPLICATION <br /> 1" I SFR 0.00 APPL 8467 <br /> SETTER INSTALLATION DATE BY <br /> METER NO SIZE NI BACKFLOW DEVICE SERIAL NO <br /> R F NO. 02 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF_ LOCKED OUT BY TSG <br /> REMARKS PER MIKE WARD: 1"METER ONLY NEEDED FOR THIS LOT <br /> SEWER SERVICE <br /> PERMIT NO SP-15895 PERMIT TYPE NEW CONNECTIONLID NO <br /> I 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. <br /> • 11i/C0c e, DATE Co 1 -J 5 <br /> FEES ' <br /> Sewer Utility Fee $70.00 Z ) V h Fr; <br /> System Development Fees $8,873.00 I <br /> Water Utility Fee $560.00 APR 2 3 2015 <br /> L - .-,,,,,--- :_ <br /> \). <br /> �Y e, <br /> TOTAL FEES $9,503.00 <br /> PERMIT NUMBER U1504-050 <br /> TOPOSTING 3 `/2�i (4O PUBLIC WORKS COPY <br />