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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 4C,A4 einclqn , L1 Nt <br /> (425)257-8810 <br /> PERMIT NUMBER U1902-003 16410 k ^ / .vS c DATE <br /> JOB ADDRESS 4526 RIVERFRONT BLVD 7() 1 LEGAL 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 <br /> 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> �\1,G _ ISI V- \ 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-14376 APP-19362 <br /> SETTER INSTALLATION <br /> �DATE <br /> ,,,, BY <br /> METER NO. it c5 & `Q9 5 1?-1-1 SIZE 5I <br /> SI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. F t/6B s L2 4q-))k_ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND I J2. ' LS `-.L. MODEL NO. <br /> METER ISTALLATION DATE g--2727'd 1 BY Lien <br /> g <br /> y/ <br /> WATER ON_kOFF LOCKED OUT BY )(, Z fS <br /> TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO SP-17945 PERMIT TYPE <br /> 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 SEWER CONNECTION <br /> INSPECTED BY: I <br /> DATE <br /> IFEES ' <br /> Y <br /> SEWER UTILITY FEE $70.00 i `; Y, <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 ^ <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 �tl' 0 1 g <br /> WATER UTILITY FEE $520.00 I J <br /> APR 0 5, 7,919 <br /> C1! ,°y <br /> Vz CV <br /> TOTAL FEES $9,668.00 .' <br /> I PERMIT NUMBER U1902-003 <br /> 1 <br /> UTILITY BILLING COPY <br />