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3126 92ND PL SE 2017-10-05
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3126 92ND PL SE 2017-10-05
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Last modified
10/5/2017 11:48:08 AM
Creation date
10/5/2017 11:48:06 AM
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Address Document
Street Name
92ND PL SE
Street Number
3126
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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> EST . PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1504-074 DATE: ✓ �— <br /> JOB ADDRESS 3126 92ND PL SE Lo T- 2.Z LEGAL.DESCRIPTION <br /> DESCRIPTION WATER, SEWER, SYS DEV FEES-RIDGECREST PARK APN: <br /> OWNER HARBOR HOMES LLC TENANT RIDGECREST PARK <br /> 1441 N 34TH ST CONTRACTOR CAJUN EXCAVATING INC <br /> SEATTLE WA 98103 602 Maple Avenue#201 <br /> SNOHOMISH WA 98290 <br /> PHONE 2063158130 <br /> PHONE 4254815659 <br /> WATER SERVICE <br /> SERVICE SIZE" SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NO. <br /> 3/4" SFR I 1.00 SO-13472 APP-18472 <br /> SETTER INSTALLATION DAATEE/� 77 BY �yy _ <br /> G — <br /> METER NO. / �`J'�fG'A— a SIZE O 01 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. S�T I N2 BACKFLOW DEVICE SERIAL NO <br /> BRAND 1e—i MODEL NO. <br /> METER ISTALLATION DAT86'I —15- BY t—• <br /> WATER ON V1 OFF LOCKED OUT BY TSG <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-15919 PERMIT TYPE NEW CONNECTION LID NO. <br /> REMARKS: Please Note:"Che City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> INSPECTED BY: I DATE: <br /> FEES <br /> Sewer Utility Fee $70.00 << UU C <br /> Sys Dev Fee Outside City Surcharge $2,218.25 <br /> System Development Fees $8,873.00 APR 2 8 2015 <br /> Water Utility Fee $480.00 <br /> e <br /> 'ern_. ices <br /> TOTAL FEES $11,641.25 <br /> PERMIT NUMBER U1504-074 <br /> �� �( / N CA- ��- � i I'�Ll�I'Y SERVES COPY <br /> TO POSTING (� <br /> Wot 4,4,5 5 w <br />
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