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j [LITIES <br />PERMIT <br />PERMIT NUMBER U1501-085 <br />JOB ADDItESS 11028 20TH DR SE <br />llESCRIPTION SYS DEV FEES FOR NEW TOWNHOME <br />OWNER SILVER LAKE CENTER LLC <br />1] 624 SE STH ST, SUITE ] 00 <br />BELLEVUE WA 98005 <br />PHONE 4255867700 <br />( 'Y OF EVERETT <br />PERMIT SERVICES <br />I DATE: <br />L�GAL DESCRIPTION <br />APN: <br />TENANT <br />CONTRACTOR OWNER <br />3200 CEDAR S7'REET <br />�VERETT, WA 98201 <br />(425) 257-8810 <br />�-zo - ry <br />00574700100102 <br />I I PHONE I <br />WATER SERVICE <br />SERVICESIZE SL'RVICCTYPE FRON7'AGE NO.OPUNITS I SERVICEORDERNO. I APPWCATIONNO. <br />I I I 1.00 <br />SETTER INS'fALLA7'ION DATE <br />Mli'PEN NO. <br />l3RAND <br />METERISTALLATION DATH BY <br />WATERON_ OFF_ LOCKEDOUT BY <br />REMARKS: <br />PBftMII' NO, <br />REMARKS: <br />INSPECTGD BY�. <br />av <br />UACKFLOW DEVICE SGRIALNO. <br />MODE4 NO. <br />SEWER SERVICE <br />TSG <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 />DATE: <br />FEES , <br />� � � � <br />JAN 2 0 2015 <br />ti ; : "Y �� . �ERF i � <br />�e�,. , . �ices <br />PERMIT NUMBER U1501-085 <br />ADDRESS COPY <br />