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<br /> , ; FaPERMIT SERVICES
<br /> PERMIT:
<br /> s ; 3200 CEDAR ST'REE`T y
<br /> EVERE1T,WA 98201
<br /> ;(425)257 8810
<br /> PERMIT NUMBER U1903-009 . , DATE D 5 H A R 2 019
<br /> JOB ADDRESS 5034°:CREST.LN LEGALDESCRIPTION,;
<br /> r DESCRIPTION NEW SEWER CONNECTION/SYSTEM DEVELOPMENT FEE. 29043600405200
<br /> OWNER HAWKINSON GEORGE/HAWKINSON DEBRA TENANT
<br /> 503'4 CREST LN ; CONTRACTOR . INTEGRITY SEWER&SEPTIC INC
<br /> EVERETT WA 98203 2617 2606 LARL1N DR;
<br /> .EVERET WA ;98203_
<br /> PHONE,
<br /> PxoNE 4255132223
<br /> WATER SERVICE
<br /> SERVICE SIZE .. SERVICETYPE ,FRONTAGE -."NO OP IMTS SERVICE--,ORDER NOS `APPLICATION NQ. ,
<br /> 0:00
<br /> SETTER INSTALLATION DATE BY - - -
<br /> METER NO - SIZE - - ,;#1 BACKFLOW DEVICE:_SHI,2IALNO _
<br /> RE:NO --#2 BACKFLOW DEVICE SE�IUALNO
<br /> BRAND .,
<br /> .:
<br /> METERISTALLATIONDATE' BY
<br /> WATER ON ---OFF_ LACKED OUT BY _ TSG t-4 E,,.,, I.r _•' - _
<br /> REMARKS.
<br /> -�.'. . ,: , :::; per,
<br /> G
<br /> �. .,.,: ''''-'-'--I'''''''''''''''''''''''"'"
<br /> .. ,. '" � a FCS;T:':
<br /> I SEWER SERVICE I
<br /> � i
<br /> PEMfTNO - • ..PEREITTYPE ,NEW CONNECTION =LIDNO.
<br /> SP.1'7964
<br /> 1-s I
<br /> REMARKS: Please Note fihe City�s respons►ble for structural -.7'-' '''',.'m thesYde sewer on tLe City ROW side per EMC Q$2 * ;M�
<br /> NEW SEWER CONNECTIONss�y��
<br /> INSPECTED BY '-_ _ DATE
<br /> - FEES
<br /> h „
<br /> 2
<br /> SEWER UTILI'T'Y FEE $70.00
<br /> SYSTEM DEVELOPMENT FEE SEWEE., $719;83
<br /> ® POSTING _• w
<br /> TOTAL FEES $789:83
<br /> PERMIT NUMBER' U1903 009
<br /> ADDRESS COPY
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