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UTILITIES CITY OF EVERETT <br /> . <br /> Fo <br /> PERMIT EIV , <br /> PERMIT SERVICES <br /> 3200 CEDAR STREET <br /> 14 C CV jr 0°?,off gUTILEIR SERVICES EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1901-034 DATE <br /> JOB ADDRESS 4523 RIVERFRONT BLVD (o-° ' 1 J LEGAL DESCRIPTION <br /> DESCRIPTION NEW SFR BASIC/2015 IRC 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 /> PHONE 4255867700 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 3/4" SFR 0.00 SO-14370 APP-19356 <br /> SII ILK INSTALLATION DATE 6g BY <br /> METER NO. 11i�6 9 41 '6\9 1 g D SIZE Al BACKFLOW DEVICE SERIAL NO. <br /> RF.NO. F L.g3 4 �' q b-✓ 52 BACKFLOW DEVICE SERIAL NO. <br /> BRAND 1�E 9 Al". J MODEL NO. <br /> METER ISTALLATION DATE 40�a f y 1'`\--#!41 BY 4-15 <br /> WATER ON OFF_ LOCKED OUT BY TSG <br /> 3/4"METER <br /> REMARKS: <br /> I SEWER SERVICE <br /> PERMIT No. SP-17938 PERMIT TYPE 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 DATE <br /> FEES <br /> SEWER UTILITY FEE $70.00 '4:E-5-5,‘--..5till <br /> 7 <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 1 : JAN 2 8, wig <br /> :r t- s " I <br /> WATER UTILITY FEE $520.00 �,. <br /> cini oI f.;v TRT <br /> TOTAL FEES $9,668.00 <br /> 0 e/ .6g /d U <br /> 1111 PERMIT NUMBER U1901-034 I <br /> UTILITY BILLING COPY <br />