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11004 20TH DR SE 2016-11-18
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11004 20TH DR SE 2016-11-18
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Last modified
1/13/2017 6:08:06 AM
Creation date
11/18/2016 10:54:56 AM
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Template:
Address Document
Street Name
20TH DR SE
Street Number
11004
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�ILITIES <br />PERMIT <br />PERMIT NUMBER U1501-050 <br />JOB ADDRESS 11004 20TH DR SE <br />DEscxirT[oN SYS DEV FEES FOR NEW TOWNHOME <br />o`r'NER SILVER LAKE CENTER LLC <br />1121519THAVESE <br />EVERETT WA 98208 <br />PHONE <br />( TY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />oATE: l� �a �-�� <br />L6GAL DESCRIPTION <br />APN: OOS%4iOOlOOlO2 <br />TENANT <br />CONTRACTOR OWNER <br />� I PHONE I <br />WATER SERVICG <br />SERVICE SIZE I SERVICE TYPE I FRONTAGE I NO.OF � I OO I SERVICE ORUL•R NO. I AYPLICA'1'ION NO. <br />SGTI'ER INSTALLATION DA'I'E <br />M[TER NO. <br />METER ISTALLATION DATE OY <br />W ATER ON _ OFF _ LOCKED OUT BY <br />RLMARKS: <br />BY <br />BACKFLOW DEVICE SERIALNO. <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />PERMITNO. PERMITTYPE DEV FEES I LIDNO. <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City KOW side per EMC 14.08.260 <br />NSNGCI'GD 13Y�. ( DATE�. <br />FEES <br />, <br />System Development Fees $7,129.00 <br />JAN 1 2 2U15 <br />TOTAL FEES <br />$7,129.00 <br />c�TY or �:u��'r�r <br />Permit 5��� vices <br />PERMIT NUMBER U1501-050 <br />ADDRCSS COPY <br />
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