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11210 19TH DR SE 2016-11-17
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11210 19TH DR SE 2016-11-17
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Last modified
1/13/2017 5:50:42 AM
Creation date
11/17/2016 2:26:20 PM
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Template:
Address Document
Street Name
19TH DR SE
Street Number
11210
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ILITIES <br />PERMIT <br />PERMIT NUMBER U1502-088 <br />JOB ADDRESS 11210 19TH DR SE <br />�sscarnTioN SYS DEV FEES FOR NEW TOWNHOME <br />owrr�R SILVER LAKE CENTER LLC <br />11624 SE STH ST, SUITE 100 <br />BELLEVUE WA 98005 <br />PHONE 4255867700 <br />C-'Y OF EVERETT <br />PERMIT SERVICES <br />I DATE: <br />LEGAL DESCRIPTION <br />APN: <br />TENANT <br />CONTRACTOR OWNER <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />00574700100102 <br />I I PHONE I <br />WATER SERVICE <br />SERVICE SIZE SERVICE TYPE FRONTAGE NO. OF UNITS SERVICE ORDER NO. APPLICATION NO. <br />I <br />I I �.�� I <br />Sl:'ITLR INSTALLATION DATE <br />MLTER NO. <br />R.F NO <br />METER ISTALLATION DA'fE BY . <br />WATERON OFF LOCKEDOUT BY <br />RGMARKS: <br />PERMIT NO. <br />REMARKS: <br />INSPECT6D BY: <br />BY <br />I NI BACICFLOW DEVICE SERIAL NO. <br />N2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />PERMITTYPE DEV FEES I LIDNO. <br />Please Notc: 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 />$7,129.00 <br />$7,129.00 <br />FEES <br />UATE: <br />PERMIT NUMBER U1502-088 <br />ADDRESSCOPY <br />
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