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1 [LITIES <br />PERMIT <br />PERMIT NUMBER U1502-087 <br />JOB ADDRLSS 11212 19TH DR SE <br />DESCRIPTION SYS DEV FEES FOR NEW TOWNHOME <br />OWNER 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 />TENANT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />°� Z rr► �- � S <br />^i'N� 00574700100102 <br />CONTRACTOR OWNER <br />I I PHONE I <br />WATER SERVICE <br />SERVICE SIZE I SERVICE TYPE I FRONTAGE I NO. OP U� 1 OO ( SHRVICE ORDER NO. I APPLICATION N0. <br />$C'ITLR MSTALLATION DATE <br />METER NO. <br />R.F. NO. <br />ME'(ER ISTALLATION DATE BY, <br />WATER ON _ OFF _ LOCKED OUT 6Y <br />REMAWCS: <br />PERMIT NO. <br />REMARKS: <br />INSPECTED BY�. <br />NI BACKFLOW DEVICE SF.RIALNO. <br />N2 BACKFLOW DGVICE SERIAL NO. <br />MODEL NO. <br />TSG <br />SEWER SERVICE <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 14.08.2G0 <br />System llevelopment Fees <br />TOTAL FEES <br />$7,129.00 <br />$7,129.00 <br />FEES <br />DATE: <br />MAR 2 6 2015 <br />C;.�'Y OT �✓FRf_'"� i <br />�'ermil �at.;, ✓ices <br />PERMIT NUMBER U1502-087 <br />ADDRESSCOPY <br />