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<br /> i= UTILITIE S
<br /> CITY OF EVEREST : ,.
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<br /> RECEIV
<br /> PERMIT SERVICES
<br /> z r PERMIT 192918 APS „ 320t?CEDAR STR)ET
<br /> E8P- 7.WA 98201
<br /> 3,7-1.- k; UTILITY SERVICES (425)257 8810
<br /> PERMIT NUMBER U1804 025 ; DATE
<br /> ` JOB`ADD7tESS. 34561ST�R LEGAI DESCRIPTION,
<br /> DESCRIPTION LOT 1`25 WATER,'SEWER,SYS DEV FEES FOR_NEW TOWNHI APN
<br /> OWNER, POLYGON WLH LLC. TENANT
<br /> 11624 SE STH ST CONTR CTOR POLYGON WLH.LLC
<br /> BELLEVUE WA' 98005 11624 SE 5TH:ST
<br /> BELLEVUE. WA 98005
<br /> PHONE
<br /> PHQ
<br /> WATER.SERVTCE`
<br /> r
<br /> `MRSEFEIT'NIEBORR NI'N/SSTALRAVLLICAETSSOIZN4EDD�A,#VTIE SZ', 41�SE•�-'_ STIZYBEYE:...••. =I. FRONTI AGE :-:*'
<br /> ##21 BBAACCKKFFLO-%NWWO D•OEFVV'IUCN1EEIST0ESER0RIAUILLNNO `SEZRV�ICE-ORVCPE _ ODECSO - RDER NO:-t' I �`-_A1PY.L2ICAIICON�NOQ
<br /> - -
<br /> ...13P11-.-.-:.
<br /> ND `-
<br /> METER ISTALLATIOP[DATI//' • 1 Y
<br /> WATERON/OFF LOCKED OUT BY
<br /> 3%4"METER ONLY;
<br /> REMARKS: - - - - -
<br /> SEWER SERVICE . . ._
<br /> PERMITTYPE. NEW CONNECTION
<br /> REMARKS. Please Note:The City Is responsible:for structural defects in the'side sewer on the City ROW side per EMC14 08.260.
<br /> INSPECTED BX:•"-
<br /> YDATE
<br /> FEES ..
<br /> SEWER UTILITX FEE $70,00 •• _� ,
<br /> SYSTEM DEVELOPMENT FEE SEWEI' : $5,763:00 . '
<br /> SYSTEM DEVELOPMENT FEE WATEF $3 866 00 • /►pp ,
<br /> WATER UTILITY FEE , $500:00 "Hr 1� '1 p 20�8
<br /> •
<br /> CITY"OF EVERETT
<br /> Permit Services
<br /> TOTAL FEES $10,-199 00
<br /> •
<br /> PERMIT 1 UMBER U1804 025
<br /> UTILITIES`COPY
<br />
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