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ZLITIES <br />PERMIT <br />PERMIT NUMBER U1502-084 <br />JOB ADDRESS 11214 19TH DR SE <br />DESCRIPTION SYS DEV FEES FOR NEW TOWNHOME <br />owrr�R SILVER LAKE CENTER LLC <br />I 1624 SE STH ST, SUITE 100 <br />BELLEVUE WA 98005 <br />PHor� 4255867700 <br />( ['Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STR�F,T <br />�VERETT, WA 98201 <br />(425) 257-8810 <br />DATE: �-Zll� _ �� <br />LEGAL DESCRIPTION <br />�N 00574700100102 <br />TENANT <br />CONTRACTOR OWNER <br />I I PHONE I <br />WATER SERVICE <br />SERVICE SIZE � SERVICE TYPE � �RONTAGE <br />SBTTER INSTALLATION DATE <br />METER NO. <br />RF. NO. <br />METER ISTALLATION DATE BY <br />WATER ON _ OFF _ LOCKED OUT BY <br />REMARKS: <br />PEIiM1T NO. <br />REMARKS: <br />INSPECTGD BY: <br />NO.OF UNITS <br />1.�� <br />HI BACKFLOW DEVICE SGRIAL NO. <br />N2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />TSG <br />SEWER SERVICE <br />SLRVICE ORDER NO. � APPUCATION 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 />$7,129.00 <br />$7,129.00 <br />FEES <br />DATE: <br />� � � � <br />MAR 2 6 2015 <br />Ci�'Y O%� ; . ,�F�,.� .�.. <br />Perm i t�, c:; vice; <br />PERMIT NUMBER U1502-084 <br />ADDRESSCOPY <br />