Laserfiche WebLink
UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> � PERMIT 3200 CEDAR STREE"C <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1501-077 �ATE: C '— <br /> �og a��R�ss 11219 19TH AVE SE BLDG 7 �E��L�Escx�PTioN <br /> o�scRiPTioN WATER& SEWER FOR NEW TOWNHOME ApN 00574700100102 <br /> owNFR SILVER LAKE CENTER LLC rr:NANT <br /> 11624 SE STH ST, SUITE 100 coN�xAcroR OWNER <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONF <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE'I'YPF h'RUNTA(iL NO.Of UNII'S SERVICE ORDF,N NO APPLICA7'ION NO. <br /> 2" I MF I I 6.00 SO-13411 I APP-18411 <br /> SETTER INSTALLATION DATE BY ___ .. <br /> tvIETER NO. S1ZE __ ____ BACKFLOW DEb9CE SERIAL NO. <br /> tiRAND __. MODEL NO. <br /> AM1ETER ISTALLATION DA'I'E BY <br /> WATER ON OFF____ LOCKED OUT BY ____ . �I�SG <br /> KtMARKS <br /> SEWER SERVICE <br /> ''�"""'NO SP-15523 v""`"'' 'Y''" NEWCONNECTION LIDNO. <br /> REMARKS: Please Note:'�he City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY' I �A�' � ' / <br /> �� � � <br /> � <br /> FEES <br /> Sewer Utility Fee $70.00 <br /> Water Utiliry Fee $990.00 <br /> ..��cg..� � — �(�' � �� <br /> . ..� ' � <br /> !. _<..�.____,_v_...�...�__�. <br /> TOTAL FEES $1,060.00 <br /> PERMIT NUMBER U1501-077 <br /> I'UI31.IC WORKS COPY <br /> �� <br />