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UTILITIES <br />PERMIT <br />CITY OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(4251257.8810 <br />- � e <br />PERMITNUNIOER U1209-038 <br />DATE 91272012 <br />JOB ADDRESS 123 69TI{ PL SE <br />LEGAL DESCRIPTION <br />DESCRIPTION SYS DEV FEES & NEW 3/4" C(INNECTION-NEW MFG SFR <br />AP+ 00392000003101 <br />OWNER OWENS GREGORY <br />TENANT <br />118 69TH ST SE <br />CONTRACTOR <br />SITE SERVICES LLC <br />EVERETT <br />WA 98203 <br />1500 E COLLEGE WAY NA-289 <br />MOUNT VERNON WA 98273 <br />PHONE 4253476436 <br />PHONE <br />3605429301 <br />WATER SERVICE <br />HRn Hie sn"a TWE wIOYfAU wMLWS SEAM[D Exw AMICAT <br />3/4' I SFR I I 0.00 I SO-13164 APP-18166 <br />eeRHImrTAWTIODD.ATE 10 sk 'L by DO� Ntti <br />OIIBIIUIlil61111111111' 3/H " <br />1834058276 —sD` <br />etAw AI rpTJUL <br />Aernel.rAUATID.Dert IV ti '� er >DL. MLh <br />WAMM— my 1L By t J <br />eA( W MACE I[AIAL <br />HODrt w <br />mmaw SP•14676 <br />re"AmTnE NEW CONNECTION <br />L1pN0 <br />IIEALAAI(s <br />wrncrtD er <br />DATE <br />FEES <br />Sewer Utility Fee <br />System Development Fees <br />Water UtilityFee <br />TOTALFEES <br />S70.00 <br />S4,629.00 <br />$1.325.00 <br />$6.024.00 <br />1'ERNIIT NUMBER U1209.038 <br />UTILITIES COPY <br />I <br />