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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> � PERMIT <br /> 3200 CEDAR STREET <br /> EVERE"fT, WA 98201 <br /> (42�)257-8810 <br /> PERMI"1'NUMBER U1208-008 DATI: �`- — '� -- Z. <br /> iofi ni>nai�s 10027 12TH DR SE i.Fcn��FscRii�noN <br /> [n:sc�zu�noN Sf-;Wt?WSYS DF.V-NEW SFR ^�'N 28051900102400 <br /> ��N'N�'-k L,ENNAR NORTHWEST 1k:NANT <br /> 12815 CANYON RD E#F CONTRACTOR OWNER <br /> PUYALLUP WA 98373 <br /> i'iioNr: 2535902205 <br /> PHONE <br /> WATER SERVICE <br /> ti��;li\'I(�l�.til/1�: tiF:H�lll-.-I1'PI: FRONI'A(�L NO.OFl1Nl-fti 1f:NVICF:ORDF:RNO APPI.ICATIONNO. <br /> I I <br /> I �.�� I <br /> SF.Tl�l:R IN$'I'ALI.A"fION DATI: �Y <br /> MLTERNO ____ 517E _____ I I3ACKFLOW DEVICE ShRIALNO . _ <br /> y�i�N�7 MODFL NO_ . . <br /> M l:'I'[�:li Iti I��i.l�!'IUN 17A-i I�. NY <br /> wA'n:s oN orr i oi�:eo our _ . ia� ----- _---- TSG <br /> KtM�H�, i�itivn ri:wn�r;K sE:Kvici: <br /> SEWER SERVICE <br /> rrknarrvu SP-14622 '�R"nrTMPF NEW CONNECTION �"1DNO <br /> RtMAKF:ti <br /> /'' <br /> IN\NI�.CTL�.I)I{� �-� ` �f� � l UAl'1: , g <br /> c �_ � ._-��_ /� <br /> FEES <br /> Sewcr Utilitv Fee $70.00 <br /> System Devclopmen[Fees $4,629.00 <br /> ,...�p� �`;,t`"' •. 1 U �� � 't�."' <br /> �,,,� <br /> TO"1':11.FEES $4,699.00 <br /> PERMIT NUMBER U1208-008 <br /> PUL3l_IC WORKS COPY <br />