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11122 20TH DR SE 2017-01-13
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11122 20TH DR SE 2017-01-13
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Last modified
1/13/2017 6:28:54 AM
Creation date
11/22/2016 8:20:03 AM
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Address Document
Street Name
20TH DR SE
Street Number
11122
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L LITIES <br />C 'Y OF EVERETT <br />PERMIT SERVICES <br />PERMIT 3200 CEDAR STREET <br />EVERET"T, WA 98201 <br />(425) 257-8810 <br />PERMIT NUMBER U1503-046 DATE: �— Z�j __ <br />JOB ADDRESS 11122 20TH DR SE LEGAL DESCRIPTION <br />DESCRIPTION SYSTEM DEVELOPMENT FEES FOR NEW TOWNHOME �N� 00574700100102 <br />OWNER SILVER LAKE CENTER LLC TENANT <br />11215 19TH AVE S E CONTRACTOR OWNER <br />EVERETT WA 98208 <br />PI IONE <br />PHONE <br />WATER SERVICE <br />SERVICE SIZE I SERVICE TYPE I IRONTAGE I NO.OF U�I OO I SERVICE ORDER NO. I APPLICATION NO. <br />SETTER INSTALLATION DATE <br />METER NO. <br />RF. NO. <br />METER ISTALLATION DATE BY <br />WA'fERON_ OFF_ LOCKEDOUT 6Y <br />REMARKS: <br />PERMIT NO. <br />REMARKS: <br />NSPECTEDBY <br />kl BACKFLOW DEVICE SERIAL NO. <br />#2 BACKFLOW DEVICE SERIAL NO._ <br />MODEL NO. <br />TSG <br />SEWER SERVICE <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 />FEES <br />DATE: <br />MAR 2 6 2at5 <br />� ��'Y O'- , �.� FR,�� ; ; <br />� ��rm � �_ ;�_ nces <br />PERMIT NUMBER U1503-046 <br />ADDRESS COPY <br />
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