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11202 19TH DR SE 2016-11-17
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11202 19TH DR SE 2016-11-17
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Last modified
1/13/2017 5:46:22 AM
Creation date
11/17/2016 1:52:24 PM
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Template:
Address Document
Street Name
19TH DR SE
Street Number
11202
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L LITIES <br />PERMIT <br />PERMIT NUMBER U1502-108 <br />JOB ADDRESS l 1202 19TH DR SE <br />DESCRIPTION SYS DEV FEES FOR NEW TOWNHOME <br />owrr�R SILVER LAKE CENTER LLC <br />11215 19TH AVE S E <br />EVERETT WA 98208 <br />C 'Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: 3 .� 2 �L7 �� l <br />LEGAL DESCRIPTION <br />APN: OOS%4%OOIOOlO2 <br />TENANT <br />corrrRacTox OWNER <br />I PHONE I I <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE <br />SE7TERINSTALLATION DATF. <br />METER NO. <br />R.F. NO. <br />SERVICETYPE I FRONTAGE <br />ME7'ER ISTALLATION DATE BY <br />W ATER ON _ OFF _ LOCKED OUT BY <br />REMARKS: <br />PERMIT NO. <br />REMARKS: <br />INSPECTED BY <br />dY <br />NO.OF UNITS <br />1 .�� <br />A1 BACKFLOW DEVICE SHRIAL NO. <br />N2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />SFRVICG ORDER NO. � APPLICATION NO. <br />PERMITTYPE DEV FEES I LIDNO. <br />Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br />System Development Fees <br />TOTAL FEES <br />$7, I29.00 <br />$7,129.00 <br />FEES <br />DATE: <br />� � v � <br />MAR 2 6 2015 <br />� <br />�'� �'Y OI �:; F�: ��-i <br />`'erm��.'�_. �fices <br />PERMIT NUMBER U1502-108 <br />ADDRESSCOPY <br />
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