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UTILITIES CITY OF EVERETT <br /> RECEIVED PERMIT SERVICES <br /> n4 PERMIT APR 2 3 2015 <br /> 3200 CEDAR STREET <br /> UTILITY SERVICES EVERETT, WA 98201 <br /> -- (425)257-8810 <br /> // <br /> PERMIT NUMBER U1504-050 C� DATE: q —'2-3 -0* <br /> JOB ADDRESS 17 115TH ST SE LEGAL DESCRIPTION <br /> 1 <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 ORDER NO APPLICATION NO <br /> 1" SFR 0.00 SO-13467 I APP-18467 <br /> SETTER INSTALLATION DATE_ BY <br /> METER NO. 719 3 SIZE I <br /> 1i PI BACKFLOW DEVICE SERIAL NO <br /> R.F NO ` if 711z. q 9 e Y2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND Jp ,/, .,LL/ MODEL NO. <br /> METER ISTALLATI�ON DATE6.-S-15 BY ill" <br /> WATER ON " OFF LOCKED OUT BY _ TSG <br /> REMARKS PER MIKE WARD: I"METER ONLY NEEDED FOR THIS LOT <br /> SEWER SERVICE <br /> PERMIT NO SP-15895 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 <br /> Sewer Utility Fee $70.00 r. S c ;+V i . <br /> System Development Fees $8,873.00 I <br /> Water Utility Fee $560.00 APR 2 3 ZU15 1U <br /> 1Y 0' :R'" _ <br /> _'ern... . rices <br /> TOTAL FEES $9,503.00 <br /> 01 /4� 3-7 PERMIT NUMBER U1504-050 <br /> I <br /> �T UTILITY SERVICES COPY <br /> TO POSTING 3(Z s-%6 <br />