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1 [LITIES <br />PERMIT <br />PERMIT NUMBER U1502-109 <br />.roa ,�,DDaEss 11204 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 />�'Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVER�TT, WA 98201 <br />(425) 257-8810 <br />DATE: 3 � Z� — �C� <br />LEGAL DESCR tPTION <br />�N 00574700100102 <br />TENANT <br />corrrawcTox OWNER <br />I PHONE I I <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE <br />S[TTER INSTALLATION DATE <br />METER NO. <br />R.F. NO. <br />58RVICETYPE I FROMAGE <br />tv1E'PER ISTALLATION DATE BY <br />W ATER ON _ OFF _ LOCKED OUT BY <br />REMARKS: <br />PERMIT N0. <br />REMARKS: <br />INSPECTED BY: <br />6Y <br />NO.OF UNITS <br />1.�� <br />IqIBACKFLOW DEVICE SERIALNO. <br />N2 �ACKFLOW DEVICE S6RIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />SERVICE ORDHR NO. I 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 Pees <br />TOTAL FEES <br />$7,129.00 <br />$7,129.00 <br />FEES <br />DATG: <br />� � � � � <br />MAR 2 6 Za�� <br />;�3�'Y OF �`� ER� �.:1. <br />�'erm�: `-�-: �rices <br />PERMIT NUMBER U1502-109 <br />ADDRESSCOPY <br />