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v ILITIES ,.-.. <br /> Y' OF EVERETT <br /> PERMIT SERVICE'S <br /> Jj, PERIVIYT <br /> it-.. x 3200 CEDAR STREET <br /> i 1" �,,°- - EVERETT,WA 98201 <br /> ,--:.---(,0:5-).40,010...--,_ <br /> PERMIT NUMBER 131805 055 , .. DATE 2 9 M•ky 201$ <br /> JOB ADDRESS . 412 5811i,..ST,SE . .: LEGAL DESCRIPTION " <br /> DESCRIPTION NEW;SEWER CONNECTION&SYSTEM DEV FEE,'SEWER APIC . 00471700002602 <br /> OWNER WARNER RAYMOND L&JEANINE M TENANT <br /> 412 58TH ST SE <br /> NTcoRACTOR „-,,SIDE-.SEWRVA ” 98203-3547" PO BOX 137 <br /> .EETT <br /> MUKILTEO WA 98275 <br /> PHONE <br /> . PHONE . <br /> . - ' 4257723400" . . . • <br /> WATER SERVICE_';_ _. <br /> - EERVICE SIZE ":�f. SERVICE TYPE, _ FRONTAGE - NO.OF TWITS SERVICE ORDER NO.;. APPLICATION NO ,. <br /> SEi .''.INSTALLATION DATE BY - <br /> METER.NO. :. `_."-' .. SIZE' _ v-•#1•BACKFLOW DEVICE-SERIAL NO."�' _ - _ <br /> "RF NO. _ ';.#2BACKFLOWDEVIC"ESRRIALNO.-, - - .s' - _ <br /> ,BRAND <br /> METERISTALLATIONDATE'. -'BY - - <br /> WATER ON_"OFF__'LOCKED OUT' BY - [TSG• - <br /> SEWER SERVICE" <br /> PERMIT NO. . SP 17716 PERMITTYPE' NEW CONNECTION <br /> REMARKS: .Please Note:Tlke Cityis responsible for structural defects"in the:side sewer on the City ROW side per EMC 14 08.260 <br /> NEW SEWER CONNECTION&SYSTEM"DEV FEES <br /> DATE <br /> INSPECTED BY. _ <br /> - . --. FEES ..... -. <br /> �` -SEWER UTILITY FEE $70.00 � J� (� - <br /> SYSTEMDEVELOPMENT'FEE SEWEF: , $7 1.72,00 ) <br /> UMAY292oiB4 ) <br /> C[TY O.F <br /> E"vE..RETT <br /> '" Porth it's ervc� <br /> TAL FEES 87,242.00 <br /> .g <br /> TO: _ <br /> Q( PERMIT NUMBER;; U1805055 ", <br /> c� ' TNG 1/'" /1 71 <br /> ADDRESS COPY <br />