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ILITIES <br />PERMIT <br />PERMIT NUMBER U1501-075 <br />JOB ADDRCSS 11224 19TH DR SE <br />�Escx�PTioN SYS DEV FEES FOR NEW TOWNHOME <br />OWNER SILVER LAKE CENTER LLC <br />11215 19TH AVE S E <br />EVERETT WA 98208 <br />( CY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STR�ET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: l., Z�`r.� <br />LEGAL DESCRIPT[ON <br />ApN: 00574700100102 <br />TENANT <br />CONTRACTOR OWNER <br />( PIiONE I I <br />PFIONE <br />WATER SERVICE <br />SF.RVICE SIZE SERVICE TYPC FRONTAGE NO.OF UNITS SERVICE ORDER NO. I APPLICA'PION NO. <br />� .�� <br />SETI'ERINSTALLATION DATE <br />MLTGR NO. <br />METER ISTALLATION DATE BY , <br />WATERON_ OFF_ LOCKEDOUT BY <br />REMARKS <br />PLRMIT NO. <br />REMARKS: <br />INSPECTED 6Y� <br />DY <br />I UACKFLOW DEVICG SERIAL NO. <br />MODBL NO <br />SEWER SERVICE <br />TSG <br />PERMITTYPE DEV FEES I LID NO. <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 />DA'fL• <br />FEES <br />$7,129.00 � � �1 � 1 <br />JAN202015 <br />� � : Y O' � . ' %ER��,' 1. 7. <br />t'ern�,,- ' - . �ices <br />$7,129.00 <br />PERMIT NUMSER U1501-075 <br />ADDRESS COPY <br />