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UTILITIES CITY OF EVERETT <br /> '111PERMIT SERVICES <br /> '�'� PER <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 1,12/4/7057 (425)257-8810 <br /> PERMIT NUMBER U1602-030 DATE. <br /> JOB ADDRESS 2102 SUMMIT AVE LEGAL DESCRIPTION ST NICHOLAS ADD BLK 454 D-00• <br /> DESCRIPTION SYSTEM DEVELOPMENT FEES FOR NEW DUPLEX APN: 00563245401700 <br /> OWNER GORDON HOMES LLC TENANT <br /> 9420 31ST AVE SE CONTRACTOR <br /> EVERETT WA 98208 GORDON HOMES <br /> 9420 31ST AVE SE <br /> EVERETT WA 98208 <br /> PHONE 4258761130 <br /> PHONE 4253384596 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO. <br /> ', [ I I <br /> .��� /� 0.00 <br /> SE I IER INSTALLATION DATE S' ' r -/6 B //) 0.00 C/I� '7 <br /> METER NO. 6q 70 3' 774, ill BACKFLOW DEVICE SERNO. <br /> I <br /> ILE NO. S�/2. 9 t/ 7 2._ N2 BACKFLOW DEVICE SERIAL NO. <br /> DRAND e/]`.cr7e 11/ I-41 <br /> `//w� Iy r�,,r MODEL NO. <br /> METER LSTA�L�L/A/TjON DATE 5 17-/a BY I-4 ♦ t•'" 1 6/f <br /> WATER ON X OFF_ LOCKED our BY v✓J0 L Y�f^. I(J <br /> v\ TSG <br /> REMARKS: one unit using 3/4"extg,other unit to have new 3/4"service' <br /> SEWER SERVICE <br /> PERMIT NO. SP-16529 PERMIT TYPE DEV FEES I 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 /> RECONNECT X2,ONE FOR EA DUPLEX UNIT.CONTR TO VERIFY CONDITION OF EXTG CONNECTION PRIOR TO RECONNECT. <br /> INSPECTED BY: <br /> I DATE: <br /> FEES <br /> Sewer Utility Fee $130.00 <br /> System Development Fees $3,613.00 <br /> Water Utility Fee $2,514.00 <br /> TOTAL FEES $6,257.00 <br /> PERMIT NUMBER U1602-030 <br /> UTILITIES COPY <br />