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CITY OF EVERETT <br /> UTILITIES . <br /> • <br /> f :t, ° %, PERMIT SERVICES <br /> PENT 3200 CEDAR STREET <br /> EVERETT,WA.98201 <br /> (425)257-8810 <br /> :PERMIT— U1610-009 DATE: <br /> os ADDRESS . 791319TH`DR SE LEGAL DESCRIPTION SEC,08 T WP 28`RCE 05 <br /> DESCRIPTION, LOT 68;SEWER,.WATER,SYSTEM 1)EV FEE FOR NEW TOW] APx. 28050800302700'. <br /> OWNER ALPINE HEIGHTS-DEVELOPMENT TENANT <br /> 120 SW EVERETT MALL WAY.SUITE . CONTRACTOR SEA PAC HOME ' <br /> EVERETT WA 98204; 120 SW EVERETTMAL- L STE 100 \ , <br /> EVERETT WA"." 98204 ' <br /> PHONE, <br /> PHONE 2539532800 <br /> IWATER SERVICE <br /> SERVICE$IZE SERVICE TYPE FRONTAGE NO.OFUNiTS SERVICE ORDER NO. APPLICATION NO. <br /> 1" DOM/FI 1.00. SO-13838 I APP-18828 , <br /> SETIERINSTALLATIONDATE BY- - - <br /> 22 1 4 <br /> METERNO/ 17 /ir,�Q SIyB f #1 BACKFLOW DEVICE SERIAL NO. <br /> #2 BACKFLOW DEVICE SERIAL NO.. <br /> BRAND -MODEL NO. <br /> METER ISTALLATION DATE-( •�3"/ BY .60 - <br /> WATER ON_- LOCKED OUT .BY - TSG - <br /> REMARKS 1"METER-SPRINKLERS REQ'D <br /> SEWER SERVICE <br /> - PERMITNO.. _ SP-16929 PERMITTYPE NEW CONNECTION I_LIDNO. <br /> REMARKS: Please Note:.The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08260" <br /> NEW CONNECTION <br /> INSPECTED BY: - :DATE: <br /> I S 1U1 6 <br /> FEES <br /> SEWER UTILITY FEE' $70.00 O <br /> SYSTEM DEVELOPMENT FEES-RESII $10 947 00 <br /> WATER UTILITY FEE $560:00 JUL <br /> 1 4 2017 <br /> TO POSTING6X1//5 CITY_OF EV, <br /> Perin it Servii��T'T <br /> TOTAL FEES . $11,577:00 <br /> PERMIT NUMBER U1610-009 <br /> UTILITIES COPY <br />