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UTILITIES CITY OF EVERETT <br /> ,e <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> '0,.W; bilcala' , tvi- EVERETT,WA 98201 <br /> 1 (425)257-8810 <br /> PERMIT NUMBER U1902-002 ' G� !v t 1;t) (")5 DATE <br /> JOB ADDRESS 4524 RIVERFRONT BLVD q g ...o d1 EGAL DESCRIPTION <br /> DESCRIPTION 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 <br /> c' I,CSA L71 bkA‘i k PHONE 4255867700 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14375 APP-19361 <br /> SETTER INSTALLATION DATE �j�^' J BY // <br /> METER NO. - /1 d3&, 5Lo(�'/0/1 SIZE 6/ rJ <br /> R.F.NO. `5�3�Q�56Cd�U JJI #1 BACKFLOW DEVICE SERIAL.NO. <br /> @� #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND (J P °7ek- .^7./ MODEL NO. <br /> METER ISTALLATION DATE J /�L rC1 BY i�[/'/yq��/[/y®� <br /> WATER ON_KQFF_ LOCKED OUT BY L L-V TSG <br /> 3/4"METER ONLY • <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-17944 PERMIT TYPE NEW CONNECTION I 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 SEWER CONNECTION <br /> INSPECTED BY: I DATE <br /> IFEES I <br /> 4. <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 _ <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 Appy�� 1 :l ,. ="i1� ni ;17,--e ry1---‘ <br /> 1p <br /> U'dP J" .3 4 9�u N ).t l I 1 y-, <br /> WATER UTILITY FEE $520.00 <br /> i:t C 11, 11 APR 0 4 6,4110 P I) <br /> TOTAL FEES $9,668.00 C 1 3 '`" ;',a' ". <br /> IPERMIT NUMBER U1902-002 I <br /> UTILITY BILLING COPY <br />