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f; hILITIES° <br /> 'TY OF EVERETT . <br /> ., 111'1- <br /> PERMIT SERVICES <br /> � <br /> ' 2.,/ P`E <br /> RMIT <br /> ,, 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425,257-8810 <br /> PERMIT NUMBER "" 111608-087 DATE: 9Z---(. (n <br /> JOB ADDRESS 25 104TH ST SE LEGAL DESCRIPTION BROADWAY"CREST BLK 000 D-00. <br /> DESCRIPTION , NEW SEWER CONNECTION&SYSTEM DEV FEES FOR NEV APN 00396900004700` <br /> OWNER :. NEAMTIU JAMES TENANT <br /> 10413 MERIDIAN AVE S CONTRACTOR OWMER <br /> EVERETT WA 98208 <br /> PHONE 4257809175. <br /> PHONE <br /> WATER SERVICE <br /> SERVICE SI7F SERVICE TYPE FRONTAGE NO OF UNITS/y SERVICE ORDER NO. APPLICATION NO. <br /> 0.00" I <br /> SEI INN NSTALLATIONDATE -.., By., - <. <br /> METERNo' "SIE #I BACKFLOW.DEVICE;SERIAL NO. <br /> RF NO: #2 BACKFLOW DEVICE SERIAL NO. <br /> .BRAND MODII,NO. <br /> •METER ISTM.LATIONDATE ABY r.� <br /> •WATERON_ OFF_ LOCKEUODT -BY `r _ <br /> REMARKS NO NEW SERVICE,ALREADY INSTALLED UNIDT LIISF}'pOf9 C -+-a:3*Cr.),Cra*3 a3'=:'-° -n-."7 A j <br /> .te - �+a-+f ';3c"—i `"2 <br /> M <br /> ... .SEWER'S) CE <br /> " a <br /> PERMIT NO. - SP-16846 PEIMT TYPE NE `CONNECTION L'°N° - <br /> REMARKS: Please Note The City is responsible for structural defects in t s> t sseewe. ,o�tl,�, �X a pe i gt9�dCt .1-4 <br /> ,,,, <br /> NEW CONNECTION I--�° 8'8 r" -5-i 1--• C� r-A x,.•n. - rtg..1 <br /> INSPECTED BY: DATE' _-"h`'-^3 <br /> I <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEES $9,910.00 <br /> TO POSTW1'•=• -(�1 r <br /> TOTAL FEES $9,980.00 <br /> 'PERMIT NUMBER U1608-087 <br /> ADDRESS COPY <br />