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UTILITIES CITY OF EVERETT <br /> ,, r <br /> PERMIT . ; 9 AO <br /> PERMIT SERVICES <br /> 3200 CEDAR STREET <br /> Li I Y SERVICE 3 EVERETT,WA 98201 <br /> c---.5212- % (425)257-8810 <br /> PERMIT NUMBER U1901-033 DATE <br /> JOB ADDRESS 4525 RIVERFRONT BLVD i o 16 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 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 NQ APPLICATION NO <br /> 3/4" SFR 0.00 SO-14369 APP-19355 <br /> SETTER INSTALLATION DATE <br /> g `� BY <br /> METER NO. 1 `I 3 9„ ® £e SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. 1 g5,-k p-4 V.-\1 �Ck2._ #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND [.:.0 a{! A^� 9 a.,�s MODEL NO. <br /> METERISTALLATION DATE® 1 —1 I 1.9 BY L4 <br /> WATER ON OFF LOCKED OUT BY TSG <br /> 3/4" <br /> REMARKS: <br /> ISEWER SERVICE ' <br /> PERMIT NO. SP-17937 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: <br /> I DATE <br /> IFEES n1 .�•>, .,� ._ 1 <br /> -----vv4Inv, <br /> SEWER UTILITY FEE $70.00 a <br /> 2 <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 / s,,, L <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 Li 2W9y e <br /> WATER UTILITY FEE $520.00 jI I <br /> , am <br /> TOTAL FEES $9,668.00 <br /> PERMIT NUMBER U1901-033 <br /> UTILITY BILLING COPY <br />