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UTILITIES CITY OF EVERETT <br /> /1111PO4:zV.---A PERMIT SERVICES <br /> %.44a PERMIT 3200 CEDAR STREET <br /> o a EVERETT,WA 98201 <br /> �.. k? eql ''SK.C5 ` .2 y_ (425)257-8810 <br /> PERMIT NUMBER U1903-002 k� � I DATE <br /> JOB ADDRESS 4520 RIVERFRONT BLVD 9,y ze/ LEGAL DESCRIPTION <br /> DESCRIPTION NEW 3/4"METER ONLY, NEW SEWER CONNECTION APN: <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 CONTRACTOR POLYGON WLH LLC <br /> BELLEVUE WA 98005 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 (5fi �' <br /> ..9i UL-1111 PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14400 APP-19386 <br /> SETTER INSTALLATION <br /> {DATE <br /> 2 �'..{"f��i, t� BY Q <br /> METER NO. I S ( _d "' ✓A7 T SIZE I U <br /> a #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. L r3 t+_`5 k..0 Li (P.7"7 l.d_ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND NO_* JA. MODEL NO. <br /> METER ISTALLATION DATE \�� \ .C1. BY ( ili�q(O,s/�� <br /> WATER ON DCOFF_ LOCKED OUT BY Alle,` TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-17993 FETE NEW CONNECTION ( LID NO. I <br /> REMARKS: Please Note:The City is responsible for structural defects in the side sewer on the City ROW side per EMC 14.08.260 <br /> NEW CONNECTION <br /> INSPECTED BY: I DATE <br /> FEES <br /> SEWER UTILITY FEE $70.00 4 <br /> ; .e,;,.f c: �} " <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 1 1 + <br /> li � ; <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 1 1 s <br /> WATER UTILITY FEE $520.00 1I i i p <br /> 3 y' OF 1 ° a i‘"°f <br /> TOTAL FEES $9,668.00 <br /> PERMIT NUMBER U1903-002 <br /> UTILITY BILLING COPY <br />