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�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 U1503-042 � °ATE �Z -- �j- <br />JOB ADDRESS 11114 20TH DR SE LEGAL DGSCRIPTION <br />DEscaiPT�oN SYSTEM DEVELOPMENT FEES FOR NEW TOWNHOME ArN: 00574700100102 <br />OWNER SILVER LAKE CENTER LLC TENANT <br />112I5 19TH AVE S E CONTRACTOR OWNER <br />EVERETT WA 98208 <br />PI IONE <br />PHONL' <br />WATER SERVICE <br />SERVICE SIZH SHRVICH TYPE FRON7'AGE NO. OF UMTS I SERVICE ORDER NO. I APPLICA770N NO. <br />I <br />I <br />I 1.�� <br />SETTER INSTALLATION DATE <br />METER NO. <br />R.F. NO. <br />MHTER ISTALLATION DATE BY <br />WATERON_ OPF_ LOCKEDOUT BY <br />IiGMARKS: <br />PGRMIT NO. <br />REMARKS: <br />INSPGCTED BY: <br />BY <br />I #18ACKFLOW DEVICE SERIALNO. <br />N2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />SEWER SERVICE <br />TSG <br />PERMI'I'TYPE DEV FEES I LIDNO. <br />Pleasc 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 />$7,129.00 <br />$7,129.00 <br />FEES <br />DATE: <br />MAR 2 6 z015 <br />C p`�; Y Ot� ,�ER}, i� <br />;-'ermi�.'•;4= �ices <br />PERMIT NUMBER U1503-042 <br />ADDRESSCOPY <br />