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ILITIES QTY OF EVERETT <br /> /1"---4 PERMIT SERVICES <br /> '*a PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425))257-8810 <br /> PERMIT NUMBER U1904-021 DATE 0 9 APR 2019 <br /> JOB ADDRESS 4521 31ST AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION CONNECT EXTG 8"DI WATER MAIN TO CONTR INSTALLEI APN: <br /> OWNER POLYGON WHL LLC TENANT POLYGON WLH LLC <br /> 11624 SE 5TH ST, STE 100 CONTRACTOR <br /> BELLEVUE WA 98005 POLYGON WLH LLC <br /> 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE <br /> PHONE 4255867700 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE I R(Y,iAc1 NO.OF UNITS SERVICE ORDER NO APPLICATION NQ <br /> 8" D <br /> 0.00 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R .NO. <br /> #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE BY <br /> I`n -,r6 <br /> WATER ON OFF LOCKED OUT BY TSG -} 1 <br /> r-+ -d <br /> REMARKS: L 3 F .� _ " <br /> =: Si C2 <br /> mi-n rri <br /> C"2 :x7 ._ I--. <br /> ISEWER SERVICE <br /> I, <br /> -'� <br /> PERMIT NO. PERMIT TYPE <br /> NEW CONNECTION I LID NO. .Ci <br /> m <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per E 1;408 61t !=? <br /> INSPECTED BY: I _j <br /> DATE <br /> IFEES I <br /> COST ESTIMATE $1,378.00 <br /> TOTAL FEES 51,378.00 <br /> IPERMIT NUMBER U 1904-021 I <br /> ADDRESS COPY <br />