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11216 19TH DR SE 2016-11-17
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11216 19TH DR SE 2016-11-17
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Last modified
1/13/2017 5:54:07 AM
Creation date
11/17/2016 2:47:31 PM
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Template:
Address Document
Street Name
19TH DR SE
Street Number
11216
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j [LITIES <br />PERMIT <br />PERMIT NUMBER U1502-083 <br />JOB ADDRESS 11216 19TH DR SE <br />nEsc�zrnTcoN 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 />3200 C�DAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />I DATE: <br />LEGAL DESCRIPTION <br />^�'N 00574700100102 <br />TENANT <br />CONTRACTOR OWNER <br />I I PHONE I <br />WATER SERVICE <br />SCRVICE SIZE SGRVICE TYPE FRONTAGE NO. OF UNITS I S6RVICE ORDER NO. I APPLICATION NO. <br />1.U� <br />SETIERINSTALLATION DA7'E <br />METER NO. <br />R.F. NO. <br />MElER ISTALLATION DATE BY <br />WATERON OFF LOCKEDOUT BY <br />REMARKS: <br />PERMIT NO. <br />REMARKS: <br />NSPECT[D BY: <br />BY <br />#I UACKFLOW DEVICE SERIAL NO. <br />N2 BACKFLOW DEVICE SERIAL NO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />P���T�P� DEV FEES I LIDNO. <br />Please Note: The City is responsible for structural defects in the sidc sewer on the City ROW side per EMC 14.08.260 <br />System Development Fees <br />TOTAL FEES <br />DATE: <br />FEES <br />$7,129.00 � � � � � <br />MAR 2 s zo�� <br />Ci�'Y OF� ;.; •✓����;�� �- <br />Perrr�it �,�; ����� <br />$7,129.00 <br />PERMIT NUMBER U1502-083 <br />ADDRESS COPY <br />
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