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t,, ,r 'v ILI xIES <br /> cv OF EVERETT <br /> PERMIT SERVICE <br /> --7 PEl)MIT <br /> 3200 CEDAR STREET <br /> EVERETT WAS 98201 . <br /> (425)257 8810 <br /> PERMITNUMBER , ': U1805,046 DATE :'2,--.2: JUN 11 $. ,, <br /> JOB ADDRESS 5014 CREST LN LEGAL DESCRIPTION <br /> DESCRIPTION NEW SIDE"SEWER.CONNECTION -APN. 29043600403000 <br /> OWNER. CROFOOT LESLIE A , TENANT <br /> 5014 CREST IN, CONTRACTOR <br /> - EVERETT WA 98203=2617 AMERICAN SEPTIC&.SIDE SWR LLC <br /> 2606 LARLIN DR <br /> EVERETT " . WA 98203,; <br /> PHONE <br /> PHONE: - 4257897296 ' <br /> I _ - _ WATER SERVICE: . _ w. <br /> SERVICE SIZE SERVICE TYPE .FRONTAGE NO.OFTINITS ' SERVICE OEDERNO _.APPLICATION NO <br /> 1.00 I <br /> SE!LEE INSTALLATION DATE- BY ` - - - - - <br /> ri <br /> METER NO `SIZE -=' - i1 BACKPLOW DEVICE SERIALNO. <br /> BACKFLOWDEVICE S - <br /> BRAND <br /> ' WATER ON OFF LOCKEDOUT BY TSG t. - G.) <br /> REMARKS: - - r�l� � <br /> m . <br /> ..SEWER SERVICE - ' , ''' <br /> PERMITNO: PERMIT TYPE NEW CONNECTION LIDNO r',.3 91,9 <br /> • REMARKS Please Note The City is responsible for structural:defects in the side sewer on'the City:ROW side per EMC-1:.4i ' <br /> CONTACT SNOHMISH HEALTH DISTRICT FOR SEPTIC TANK ABANDONMENT REQUIREMENTS NEW CONNECTION T(1r?ZIR CREDIT OFA <br /> $5630.24 APPLIED TO$57VF. <br /> 63 SEWER SYS DEV DUE FOR SEWER FEES PAID iSINCE 3/2009.. =F.:7 :5. .=:, <br /> INSPECTED BY:'- DATE I" <br /> "_ <br /> FEES <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SE.WEI, $132.76 <br /> TI " 7 /g Lg <br /> TOTAL FEES $202.76 <br /> IPERMIT NUMBER U1805-046.' <br /> ..• . <br /> COPY <br />