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1TILITIES; 'ITY OF EVERETT <br /> PERMIT SERVICES - <br /> . <br /> d PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER , U1E604-019: DATE (—� l T`-1 <br /> JOB ADDRESS 3505 UPLAND AVE LEGALDESCRIPTrON 1 <br /> 'DESCRIPTION WATER,;SEWER,SYS DEV FEES FOR NEW SFR APN: 00433600005502 - <br /> OWrrER ACME HOMES LLC TENANT <br /> .111 02180TH ST SE <br /> SN 11 180TH' WA CONTRACTOR ACME HOMES LLC <br /> 17408 56TH ST NE <br /> PHONE 4259030292 <br /> SNOHON ' <br /> IISH WA 98290 <br /> PHONE 4259031786 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS <br /> I "" SERVICE ORDER NO. : APPLICATION NO. <br /> 3/4" SFR 1.00 SO-13648. APP-18640 <br /> .SETrERINSTALLATIONDATE _ BY <br /> METEANO. SIZE 4,111 BACKFLOW DEVICE SERIAL NO, <br /> #2 BACKFLOW DEVICE SERUL NO. <br /> BRAND <br /> " MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUTS BY <br /> TSG• <br /> REMARKS: t"`'t--'..I-"�'." i • t-a 1^..•I• . I.... f-^F�'..1 ` -1'� - - <br /> 0-3 <br /> CISFEF ,..3a k� E =a <br /> ISEWER SER C E a R <br /> PERMIT NO. SP-16632 PERMITTYPE a 1.1.13I <br /> ,NEW NNECT,ION I LID Is* <br /> •12E1VIARKS: Please Note The::City"is responsible for structural defects in the <br /> � � '�tt trhe X13-R(41,71...:.-+d,e�e;� <br /> s <br /> D.r0D.1r....,r....,► <br /> cnME' '' '� 3 �W•it.-•�o � <br /> �..CREDIT OF$7962 FOR D �li � F.-p!-.. .� <br /> a <br /> INSPECTEDBY- - ;:�y'. <br /> I` FEES " <br /> Sewer Utility-Fee $70.00 _ � I <br /> System Development Fees $1,948.00 <br /> Water Utility Fee $2,514.00 <br /> TO•posr� z, <br /> TOTAL FEES $4,532.00 , <br /> I PERMIT UMBER U1604-019 <br /> " " <br /> ADDRESS COPY <br />