Laserfiche WebLink
UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> „vPERMIT <br /> 3200 CEDAR STREET <br /> - EVERETT,WA 98201 <br /> k 9�~ 1-cif . (425)257-8810 <br /> PERMIT NUMBER U1903-003 5.e Wi_ ,;1 } DATE <br /> JOB ADDRESS 4522 RIVERFRONT BLVD q8 7.6I LIEGAL 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 <br /> POLYGON WLH LLC <br /> BELLEVUE WA 98005 <br /> 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> (L AALA. n , 0I k ;PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 3/4" SFR 0.00 SO-14401 APP-19387 <br /> SETTER INSTALLATION DATE BY {� <br /> METER NO. '1 eJW73k.03 g�y 2 1 _SIZE s/[$ #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO_ V 7 W'33'2 t I ) 42 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> l q <br /> METER ISTALLATION DATE s2 1 BYi .W�j <br /> WATER ON_X OFF LOCKED OUT BY J _ TSG <br /> 3/4"METER ONLY <br /> REMARKS <br /> SEWER SERVICE <br /> PERMIT NO SP-17994 PERMIT TYPE NEW CONNECTION LID NO. <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 €x + r- <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 <br /> II <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 DFS ! 7 ° I <br /> WATER UTILITY FEE $520.00 Lf I ° <br /> -45 <br /> TOTAL FEES $9,668.00 <br /> PERMIT NUMBER U1903-003 <br /> UTILITY BILLING COPY <br />