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lJ � ILITIES �y OF EVERETT <br /> PERMIT SERVICES <br /> E Err PERMIT <br /> 3200 CF,DAR S"I RGF,"f <br /> L:VERGTT.WA 98201 <br /> (425)257-8810 <br /> PF,RMITNUMBER U1510-008 DA"fE — "Z S <br /> �o�i��i>izrss I 126 RUCKER AV� �i�:cAi_�escRii�TioN <br /> ��i�_scEzu��rtoN SYSTEM DEV, WATGR& SEWER �OR NEW SFR ^�'N� 00468622302901 <br /> �>w'N��Ez W►LLIAMS SHARON A& JOSI1 A ���f'-"^N��� <br /> 1018 WI�:TMORI? AVE coN�r�znc�roiz <br /> CVGRC"l�"I' WA 98201 WILLIAMS SHARON A &JOSH A <br /> 1018 WE"I'MORE AV13 <br /> EVERGT"I' WA 98201 <br /> �'���>N�� 253225 I 291 <br /> i'i�oNr: 2532251291 <br /> wn�rEa s�:av�c�: <br /> �I:IlVICI-iIlE S[N�'ICE ll'P[: FRON'I�.AG� NO OF UNI"i5 SLIiVICF Olil)FR NO �PVLIC'A'I'ION N() <br /> 3/4" SFR I 1.00 SO-13550 I nPP-18543 <br /> I I <br /> St:'I�I'f-.R IN�fALL.A'I�IOY D.4'ff�. l31' -_. __ __ <br /> Aff='I I�:H N() _]I!E .. ___ __ i�l BACI:FLO\\'UE\'10E SERIAL NO.___ _ <br /> R.I�N() I �+2 BACI�I�LOW UF:VICE tiFRIAI.NO. , .. <br /> BRAND �10DGI.^l0 <br /> i\tl�:'i�f�R IS"I ALLATION DAI'1: !3Y'___'_ ' <br /> \VA'fl`.RON OI�I� LOChfI>OU'f 13Y _ �I�SCi <br /> I21:MAI2Kti� <br /> Sh:WER SI?RV10E <br /> i•��:iin,rrNu SP-16372 NeHtiin-rv�e DEV FF,ES �.�uNo <br /> R4:�9ARIiS: Plcase Notc:The City is responsiblc for struchmal dcfects in the side sewer on thc City ROW side per Gti1C 1�1A8.2G0 <br /> IhSPI�.('TED UY I D�TE <br /> FEES <br /> Se��,cr Utilitv Pcc $70.00 -�.^� <br /> System Ueveluptnent I�ees $7.129.00 � `�1 ��' � <br /> �`` � 1 . ..`� <br /> Watcr Utilit}'fcc $2.394.00 � �`=� � � �� � <br /> � ` t <br /> , T����. -t`.��"�� oCZ 1 2 2015 � � <br /> �� ��'� t� <br /> Ji` <br /> "1'O'IALFI?l?S $),593.00 — �� ��' lCL <br /> ' {1-i'.� <br /> PF.RM17' NUMBI:R U1510-008 <br /> ni�n�zr:ss co>>v <br />