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3212 92ND PL SE 2017-10-05
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3212 92ND PL SE 2017-10-05
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Last modified
10/5/2017 1:59:41 PM
Creation date
10/5/2017 1:59:40 PM
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Address Document
Street Name
92ND PL SE
Street Number
3212
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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> &Frr <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1511-024 DATE: C) <br /> JOB ADDRESS 3212 92ND PL SE 10 V I 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 TT& E LLC <br /> SEATTLE WA 98103 PMB 402 26910 92ND AVE NW <br /> STANWOOD WA 98292 <br /> PHONE 2063158130 <br /> PHONE 4257548315 <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-13564 APP-18557 <br /> I <br /> SETTER INSTALLATION DATE BY <br /> METER NO. _ _ SIZE NI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. _ _ _ __ _. _ _ # BACKFLOW DEVICE SERIAL NO. <br /> BRAND _ _ _ ____ _ MODEL NO. -. - - <br /> METER ISTALLATION DATE BY <br /> WATER ON_ OFF- LOCKED OUT BY __ TSG _ <br /> REMARKS. <br /> SEWER SERVICE <br /> PERMIT NO. SP-16426 PERMITTYPE NEW CONNECTION LID NO <br /> REMARKS: Please Note:The 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 <br /> Sys Dev Fee Outside City Surcharge $2,218.25 i' 3 <br /> System Development Fees $8,873.00 <br /> Water Utility Fee $480.00 DEC 0 9 2015 <br /> . Y O! FR .: <br /> TOTAL FEES $11,641.25 'err. <br /> PERMIT NUMBER U1511-024 <br /> TO POSTING ��-���/I� ADDRESS COPY <br /> dg <br />
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