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miimi <br /> am <br /> UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> C n r� 1 3200 CEDAR STREET <br /> Wttit'AC 611 to a\ `�A- al. `pi 3 t "\ Lo+ 36g7 EV(RETT2 WA 8810201 <br /> PERMIT NUMBER 906-024 at-AC O 1.( OgC( I I 6 V45 DATE <br /> JOB ADDRESS 4607 RIVERFRONT BLVD 4,q pp LEGAL DESCRIPTION <br /> l0 �� <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION,SYSTEM DI 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 /> I WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14442 APP-19428 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE JO #1 BACKFLOW DEVICE SERIALNO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> Pri <br /> BRAND • 'l���vl+(�)��, MODEL NO. <br /> METER ISTAL�Nj)ATEff.-1- 1 LY I <br /> WATER ON OF(F.0 LOCKED OUT BY TSG <br /> 3/4"METER ONLY , - i' <br /> REMARKS: <br /> �Z IH IIIII�IHMIINIIiII G� (0, I, of—1 <br /> -1563730730 <br /> ISEWER SERVICE <br /> PERMIT No. SP-18067 PERMIT TYPE NEW CONNECTION LID NO. <br /> 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 /> IFEES1 <br /> I <br /> SEWER UTILITY FEE $70.00 a rh\� <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 LI_ , ' 1' <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 ®3 2O9g0' <br /> WATER UTILITY FEE $520.00 JUL d x 2019 CITY o <br /> '- +4 <br /> y,� <br /> Perin ii ��c-rvices � <br /> 41 <br /> TOTAL FEES <br /> $9,668.00 r <br /> • 1 PERMIT NUMBER U1906-024 I <br /> UTILITY BILLING COPY <br />