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T ILITIES <br />PERMIT <br />PERMIT NUMBER U1505-070 <br />Jos aDDliess 2020 112TH PL SE <br />DESCRIPTION SYS DEV FEES FOR NEW TOWNHOME <br />OWNER SILVER LAKE CENTER LLC <br />11215 19TH AVE S E <br />EVERETT WA 98208 <br />(�'Y OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />DATE: 5 .� 2 � � � <br />LEGAL DESCRIPTION <br />�'N 00574700100102 <br />TENANT <br />CONTRACTOR SILVER LAKE CENTER LLC <br />1121519THAVESE <br />EVERETT WA 98208 <br />i�i-ioN� <br />PHONE <br />WATER SERVICE <br />SERVICe 51"I.H <br />SE7TERINSTALLATION DATE <br />METER NO <br />R.F. NO <br />SERVIC@TYPE I FRONTAGH <br />METER ISTALLA'I'ION DATE BY <br />WATERON_ OI'P._ LOCKEDOUT BY <br />REMARKS. <br />PERMI'f NO. <br />REMARKS: <br />INSPECTED eY' <br />BY <br />NO.OFUNITS <br />1.�� <br />NIBACKFLOW DEVICE SERIAL NO. <br />N2 BACKFLOW DEVICE SE21AL NQ_ <br />MODEL NO <br />SEWER SERVICE <br />TSG <br />SERVICL' ORUBR NO. I APPLICATION NO <br />PGRMITTYPE 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 />� i C� � �! � <br />; <br />�� MAY222015 � <br />�� .) <br />-, , ..�, <br />.,_ _ Y p� _:�t�FRr ;� � <br />�'erm��: `��� �rices <br />PERMIT NUMBER U1505-070 <br />ADDRESS COPY <br />