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�ILITIES <br />PERMIT <br />TY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EV�RETT, WA 98201 <br />K.( (425) 257-8810 <br />PERMIT NUMBER U1210-018 DATE: 10/18/2012 <br />JOB ADDRESS 2715 86TH ST SE LEGAL D�SCRIPTION <br />DESCRIPTION WATER & SYS DEV FEES- OUTSIDE CITY LIMITS APN� 00556100010600 <br />OWNER HANSEN & HANSEN CONSTRUCTION TENANT <br />10131 MORAN RD CONTRACT02 OWNER <br />ARLINGTON WA 98223 <br />PHONE 4252105792 <br />l I PHONE I <br />WATER SERVICE <br />SERVICE SIZE SERVICETYPE FRONTAGE NOAF UNITS SERVICBORDER NO APPLICATION NO. <br />SFR I I 0.00 I SO-13169 I APP-18171 <br />SEITER MSTALLATION DATE BY <br />METLRNO. SIZE I BACKFLOW DEVICE SERIALNQ <br />BRAND MODEL NO. <br />METER ISTALLATIONDATE BY <br />WATERON OFF LOCKEDOUT BY �� � � � � <br />TSG ti' � � d , i=�� <br />�-- � <br />aeMnxKs: WATER COST BASED ON COST ESTIMATE PER MIKE WARD AND SYS DEV FEES ARE WATER ONLY+25d1obUT�E OF <br />CITY LIMITS FEE •- > > --' �`�' ��`'' ��- t` �J'' ^ <br />t1P0 S��.v' — L�� Se.�i;G� �:.,1 i--� ;�-: • �• -�.. <br />z. ��.a rJ7 �,� �:.r:� i.--i� <br />PERMIT NO. <br />REMARKS: <br />INSPECTED eY: <br />SYS DEV-WATER ONLY-+OUTSIDE C <br />WATER COST ESTIMATE <br />TOTAL FEES <br />SEWER SERVICE <br />PERMITTYI'E NEW CONNECTION <br />$2,294.00 <br />$3,545.00 <br />$5,839.00 <br />FEES <br />�d:� �—. .,.: r... <br />..-J �'r� � <br />I-°'� ' _: ; �", <br />� <br />LID N0. �� �;��� <br />i�^m, r••.� � <br />�Iy:F q, 1 . . , :;...•i <br />Y <br />�_,. � a j�j i..r.t i���a _.r_ <br />�_.. .y •.� i �'- <br />�jr•. b L?7 1`�,) ry i..rl P.J _. <br />"J '4=- '' �.i h -4;: •.t_;• ' <br />rri � v �n ..1�:.. ��+ 0 e7 -�•., � <br />DA'?iF; �� ..� - � iClC7 '. } �,_ _ � �S� �� <br />�:"":J ��.1 I": �i <br />�— : i`�'} ..... . <br />PERMIT NUMBER U1210-018 <br />ADDRESSCOPY <br />