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20-104505 SEWER_LAKEHAVEN SEWER DIST_11-23-2020 V1Date: Land Use Authority: Notes Notes 1 2 3 X Development Engineering  31623 - 1st Ave S  PO Box 4249  Federal Way, WA 98063-4249 Email: DE@Lakehaven.org  Phone: 253-945-1580 or 253-945-1581 9/28/20 Requestor: MICHELLE HENRY Parcel #:1421039043 Property Address:33305 - 43RD AVE SW Federal WayProperty / Legal Description: This property connected to Lakehaven's water system under Water Service Connection Application No. , and all service connection charges have been paid. This property connected to Lakehaven's sewer system under Sewer Service Connection Permit No. , and all service connection charges have been paid. The following service connection charges are PAYABLE ONLY AT THE TIME SERVICE IS REQUESTED: WATER SEWER  Charge-Payable-in-Lieu-of-Extension T  Charge-Payable-in-Lieu-of-Extension T DE Latecomer Charge DE Latecomer Charge TACOMA WATER Temporary Service Connection Charge T Temporary Service Connection Charge T 15,825.64$ Capital Facilities Charges T Capital Facilities Charges T 3,988.00$ Dig Service/Meter Installation T Sewer Service Connection Permit T 480.00$ Service Connection Agreement(s)Right-of-Way Permit 140.00$ Drop-in Meter Installation T Service Connection Agreement(s) Right-of-Way Permit Document Recording Charges Subtotal Subtotal 20,547.14$ 113.50$  Interest accrual associated with Charge-Payable-in-Lieu-of-Extension is date dependent. Please contact Lakehaven for updated charges prior to submitting payment. Owner must provide proof of private easement for offsite private service line(s). Owner must provide/grant/reserve public easement for future Lakehaven sewer system facilities. City of Federal Way Excise Tax City of Federal Way Excise Tax 1,572.76$ TOTAL TOTAL 22,119.89$ Owner must execute a Temporary Sewer Service Agreement. According to Lakehaven records, the property was assessed under Utility Local Improvement District (ULID) No. (Water) / No. (Sewer). To receive ULID payoff information, contact King County Treasury Operations, L.I.D. Section, by email at MAMS.LID@KingCounty.gov or by telephone at 206-263-1893. Notes & Other Pertinent Information: 1. 184.02 Benefitted Front Feet @ $86/BFF. 2. Temporary Service & Private Grinder Pump Agreement. 3. Agreement Recording Charges. T = Subject to City of Federal Way excise tax. NOTE: Contact Lakehaven Billing staff at 253-941-1516 or Lakehaven@Lakehaven.org, to request final service billing upon closing. VOID AFTER 30 DAYS Preparer's Signature: Brian Asbury (e-signed) Preparer's Name: Brian Asbury Checked By: Preparer's Title: Development Engineering Supervisor Date Checked: Request for Charges-2019.xlsx (Form Update 1/10/19) Date: Land Use Authority: Notes Notes 1 2 3 X X X Development Engineering  31623 - 1st Ave S  PO Box 4249  Federal Way, WA 98063-4249 Email: DE@Lakehaven.org  Phone: 253-945-1580 or 253-945-1581 9/28/20 Requestor: MICHELLE HENRY Parcel #:1421039069 Property Address:333XX - 43RD AVE SW Federal WayProperty / Legal Description: This property connected to Lakehaven's water system under Water Service Connection Application No. , and all service connection charges have been paid. This property connected to Lakehaven's sewer system under Sewer Service Connection Permit No. , and all service connection charges have been paid. The following service connection charges are PAYABLE ONLY AT THE TIME SERVICE IS REQUESTED: WATER SEWER  Charge-Payable-in-Lieu-of-Extension T  Charge-Payable-in-Lieu-of-Extension T DE Latecomer Charge DE Latecomer Charge TACOMA WATER Temporary Service Connection Charge T Temporary Service Connection Charge T 11,538.11$ Capital Facilities Charges T Capital Facilities Charges T 3,988.00$ Dig Service/Meter Installation T Sewer Service Connection Permit T 480.00$ Service Connection Agreement(s)Right-of-Way Permit 140.00$ Drop-in Meter Installation T Service Connection Agreement(s) Right-of-Way Permit Document Recording Charges Subtotal Subtotal 16,259.61$ 113.50$  Interest accrual associated with Charge-Payable-in-Lieu-of-Extension is date dependent. Please contact Lakehaven for updated charges prior to submitting payment. Owner must provide proof of private easement for offsite private service line(s). Owner must provide/grant/reserve public easement for future Lakehaven sewer system facilities. City of Federal Way Excise Tax City of Federal Way Excise Tax 1,240.47$ TOTAL TOTAL 17,500.08$ Owner must execute a Temporary Sewer Service Agreement. According to Lakehaven records, the property was assessed under Utility Local Improvement District (ULID) No. (Water) / No. (Sewer). To receive ULID payoff information, contact King County Treasury Operations, L.I.D. Section, by email at MAMS.LID@KingCounty.gov or by telephone at 206-263-1893. Notes & Other Pertinent Information: 1. 134.16 Benefitted Front Feet @ $86/BFF. 2. Temporary Service & Private Grinder Pump Agreement. 3. Agreement Recording Charges. T = Subject to City of Federal Way excise tax. NOTE: Contact Lakehaven Billing staff at 253-941-1516 or Lakehaven@Lakehaven.org, to request final service billing upon closing. VOID AFTER 30 DAYS Preparer's Signature: Brian Asbury (e-signed) Preparer's Name: Brian Asbury Checked By: Preparer's Title: Development Engineering Supervisor Date Checked: Request for Charges-2019.xlsx (Form Update 1/10/19) Date: Land Use Authority: Notes Notes 1 2 3 X X X Development Engineering  31623 - 1st Ave S  PO Box 4249  Federal Way, WA 98063-4249 Email: DE@Lakehaven.org  Phone: 253-945-1580 or 253-945-1581 9/28/20 Requestor: MICHELLE HENRY Parcel #:1421039087 Property Address:333XX - 43RD AVE SW Federal WayProperty / Legal Description: This property connected to Lakehaven's water system under Water Service Connection Application No. , and all service connection charges have been paid. This property connected to Lakehaven's sewer system under Sewer Service Connection Permit No. , and all service connection charges have been paid. The following service connection charges are PAYABLE ONLY AT THE TIME SERVICE IS REQUESTED: WATER SEWER  Charge-Payable-in-Lieu-of-Extension T  Charge-Payable-in-Lieu-of-Extension T DE Latecomer Charge DE Latecomer Charge TACOMA WATER Temporary Service Connection Charge T Temporary Service Connection Charge T 12,779.61$ Capital Facilities Charges T Capital Facilities Charges T 3,988.00$ Dig Service/Meter Installation T Sewer Service Connection Permit T 480.00$ Service Connection Agreement(s)Right-of-Way Permit 140.00$ Drop-in Meter Installation T Service Connection Agreement(s) Right-of-Way Permit Document Recording Charges Subtotal Subtotal 17,501.11$ 113.50$  Interest accrual associated with Charge-Payable-in-Lieu-of-Extension is date dependent. Please contact Lakehaven for updated charges prior to submitting payment. Owner must provide proof of private easement for offsite private service line(s). Owner must provide/grant/reserve public easement for future Lakehaven sewer system facilities. City of Federal Way Excise Tax City of Federal Way Excise Tax 1,336.69$ TOTAL TOTAL 18,837.80$ Owner must execute a Temporary Sewer Service Agreement. According to Lakehaven records, the property was assessed under Utility Local Improvement District (ULID) No. (Water) / No. (Sewer). To receive ULID payoff information, contact King County Treasury Operations, L.I.D. Section, by email at MAMS.LID@KingCounty.gov or by telephone at 206-263-1893. Notes & Other Pertinent Information: 1. 148.60 Benefitted Front Feet @ $86/BFF. 2. Temporary Service & Private Grinder Pump Agreement. 3. Agreement Recording Charges. T = Subject to City of Federal Way excise tax. NOTE: Contact Lakehaven Billing staff at 253-941-1516 or Lakehaven@Lakehaven.org, to request final service billing upon closing. VOID AFTER 30 DAYS Preparer's Signature: Brian Asbury (e-signed) Preparer's Name: Brian Asbury Checked By: Preparer's Title: Development Engineering Supervisor Date Checked: Request for Charges-2019.xlsx (Form Update 1/10/19)