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11208 19TH DR SE 2016-11-17
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11208 19TH DR SE 2016-11-17
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Last modified
1/13/2017 5:49:35 AM
Creation date
11/17/2016 2:18:16 PM
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Template:
Address Document
Street Name
19TH DR SE
Street Number
11208
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r [LITIE S <br />PERMIT <br />PERMIT NUMBER U1502-111 <br />�oa fw��ss 11208 19TH DR SE <br />DESCRIPTION SYS DEV FEES FOR NEW TOWNHOME <br />OWNER 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 />CVER�TT, WA 98201 <br />(425) 257-8810 <br />DATE: � �.), ,-'Z�j �� <br />LEGAL DESCRIPTION <br />^PN� 00574700100102 <br />TENANT <br />CONTRACTOR OWNER <br />I PH°� I I <br />PHONE <br />WATER SERVICE <br />SERVICE S1ZH <br />SLTTER INSTALLATION DATE <br />METLiR NO. <br />R.F. NO. <br />SERVICETYPE I FRONTAGE <br />ME'I"ER ISTALLATION DATE BY , <br />WATERON_ OFF_ LOCKEDOUT BY <br />RLMARKS: <br />PERMIT NO. <br />REMARKS: <br />NSPECTED BY: <br />BY <br />NO. OF UNITS <br />1.�� <br />NI BACKFLOW DEVICE SERIAL NO. <br />q2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />SERVICE ORDER 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 CMC 14.08.2G0 <br />System Development Fees <br />TOTAL FEES <br />$7,129.00 <br />$7,129.00 <br />F�ES <br />DATE: <br />� � � � <br />MAR 2 6 2015 <br />Cl'IY OF �`JF��.�l <br />Permit �e�'�►ces <br />PERMIT NUMBER U1502-111 <br />ADDRESSCOPY <br />
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