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11106 20TH DR SE 2017-01-13
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11106 20TH DR SE 2017-01-13
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Last modified
1/13/2017 6:24:22 AM
Creation date
11/22/2016 7:14:35 AM
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Address Document
Street Name
20TH DR SE
Street Number
11106
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� <br />� <br />� <br />T [LITIES <br />PERMIT <br />C�'Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1503-040 I DATE: <br />JOB ADDRESS 11106 20TH DR SE LEGAL D�SCRIPTION <br />DESCRIPTION SYSTEM DEVELOPMENT FEES FOR NEW TOWNHOME APN: <br />owx�R SILVER LAKE CENTER LLC TENANT <br />11215 19TH AVE S E CONTRACTOR OWNER <br />EVERETT WA 98208 <br />0 <br />00574700100102 <br />I PHONE I I <br />PI IONC: <br />WATER SERVICE <br />SERVICESIZE SERVICETYPE I•RONTAGE NO.OFUNITS I SERVICEORDERNO. I APPLICATIONNO. <br />I I 1.�� <br />SET7'ER INSTALLATION DATE <br />AIETER NO. <br />R.F. NO. <br />METER ISTALLATION DAl'6 BY . <br />W ATER ON _ OFF _ 40CKED OUT BY <br />REMARKS. <br />BY <br />NI BACKFLOW DEVICE SERIALNO. <br />N2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL N0. <br />SEWER SERVICE <br />TSG <br />PERMiI'NO. PERMITTYPB NEW CONNECTION I LIDNO. <br />REMARKS: Please Note: The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br />NSPHCTED BY: I DATE: <br />FEES <br />System Development Fees $7,129.00 I <br />TOTAL FCES <br />$7,129.00 <br />MAR 2 6 2015 <br />C��'Y OI ;�.��%El��.,t l. <br />Perm►t tiL; �✓ices <br />PERMIT NUMBER U1503-040 <br />ADDRESS COPY <br />
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