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�LITIES <br />PERMIT <br />PERMIT NUMBER U1412-117 <br />'�'3 ADDREss 2012 113TH PL SE <br />i�i:SCKIPTI�N SYS DEV FEES FOR NEW TOWNHOME <br />�N'N�� SILVER LAKE CENTER LLC <br />11215I9THAVESE <br />EVERETT WA 98208 <br />C�'Y OF EVERETT <br />PERMIT SERVICES <br />3200 CGDAR STREET <br />EVERET'I', WA 98201 <br />(425) 257-8810 <br />DATF r - s _, 5 <br />LLGAL DESCRIPTION <br />APN 00574700100102 <br />1'L-NANT <br />coNr�zAc�oa OWNER <br />I PI1ONG I I <br />PI ION� <br />WATER SERVICE <br />SERVICE SIZG I SI�:RVICE'fypl; I FRONTAGL. I NO. OF U; I'IOO I SERVICE ORDtR NO. I APPLICA'f10N NO. <br />1 <br />SEl"IER INSTAI.LAIION DATE <br />MET[R NO. <br />t3R.\NU <br />MI��17:R ISTALLATION DATE <br />N'Al'[:RON ____ UI�I� I.U('KL�VUT <br />I2LMAHKS. <br />Pl�:RMIT NO <br />RENIARKS: <br />MSPt3CTED BY�. <br />8Y <br />BY <br />dY' <br />BACKFLOW DEVICE $ERIAL NO. <br />MODLL NO <br />SEWER SERVICE <br />�SV <br />reiimrr rvi�e 1iL.V j" EES I i.�u No <br />Please Note: "1'hc City is responsible fur structural defects in the side sewer on the City ROW side per F.MC 14.08.2G0 <br />System Development Fees <br />7'07'AL I�l?l�:S <br />U.ATE <br />FEES <br />$7, I29.00 � � � <br />JAN 0 5 201ti <br />+Cl i Y Ot= ��.'v 6RF'i.,l. <br />x'ermit :-;��vices <br />$�, i z �.00 <br />PERMIT NUMBER U1412-117 <br />ADURt;SS COPY <br />