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j [LITIES �y OF EVERETT <br /> PF,RMIT SERVICES <br /> E Err PERMIT <br /> 3200 CF DAR STRI;E1� <br /> EVERF,TT',WA 98201 <br /> (425)257-8810 <br /> PEI2MIT NUMBF.R U1512-006 DArE <br /> J013 nDI�RI�SS j429 �5'I'E� ST' LFGAL DGSCRIPTION <br /> �rscRii>rioN SYSTEM UI:V FEES& S[:WER CONNECTION-13NSF ni'N: <br /> owN�:x BNSF RAILWAY CO r�NANT STUFF BRUCE <br /> 2650 I,OU MENK DR coN�rRArroiz FIVE STAR BUILDERS INC <br /> �ORT WORTH TX 76131 p0 E30X 555 <br /> BANKS OR 97106 <br /> t��ic�Nt: 9135514070 <br /> Pi��NE 5033485220 <br /> WATEI2 SERVICE <br /> 51:RVICE SIZE SI;R\'IC'!�:-I'YPE FRONTAGI�: NO OI�UNITS I SERVIC[:UKDtN NU. I APPLIC:�TION NU <br /> I <br /> I <br /> I 0.�� <br /> 'SLl-I'Llt INSTALLATION DATF. _ BY ___ .__ <br /> MET[R NO. SIZE____ I kl BACKFLOW DEVIC[SERIAL NO. <br /> R.f.NO. il2�ACKFI.OW DtVICC:SERIAL NO. <br /> BRANU ______ NIODF.L NO.____ <br /> MF.TGR IS"I�ALI.A7'ION DATH dY ____. <br /> �.� ,,,.,,�:.'.-' <br /> �VATC:RON_ OFF LOCKL'DOLT_..__ 13Y ______ ��$(i __.____,_ _______ �r,:i . �...�..� <br /> _ __ � i <br /> � .:,._,. .__.. ..,y,.� <br /> ,: <br /> ' �:�' ���4�� <br /> Rf�:Mi\RI�S .. � .., ... . .. <br /> I,.0 ......� .�lJ':J <br /> ���...._''-K;^1'rl <br /> `i"_ � <br /> �.� .�.-_ .....i <br /> r.i <br /> _., <br /> ;:-:� -� .> ;.._- <br /> SEWCR SERVICE �'j�'� "'' <br /> �.... <br /> „�,y ,�, <br /> i „ <br /> i�r.unirrNo SP-16445 vean,nrvi>e NEW CONNECTION �.iuNo �,f <br /> ;::' �:.:_ <br /> RI;NIARKS: Please Note:'fhe City is responsible for structural dcfects in the side sewer on[he City RO�V side per E;�1C!];dif��;,�21�6" <br /> .�, t'; .c_,:.� : <br /> r.7::I—....] <br /> �"'�,,, '..Gi C7 <br /> "� �. :::a �.C:. <br /> I:7 -7�..'"J <br /> '_'a <br /> C"'„',J f.� <br /> INSNt:CT[�:D 13V� / I UAT[;'. � —� � �„� . <br /> �-....:_i_.� <br /> �,. L� � � c � <br /> FH ES <br /> Scwer Utility Fee $7��� <br /> System Uevelopment Fee>-Commcrcial $11,989.67 <br /> -,Lv�/'� <br /> �'�� �'���4�'�'�� ....�.L� ..._ Y <br /> '1�0'f.�L FGI�:S $12,059.67 <br /> YERM[T NUMI3ER U1512-006 <br /> ADDRI:SS COPY <br /> ✓-1��� �2� <br />