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4611 RIVERFRONT BLVD 2020-10-22
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4611 RIVERFRONT BLVD 2020-10-22
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Last modified
10/22/2020 8:52:18 AM
Creation date
7/2/2020 3:53:31 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4611
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Nom <br /> ILITIES TY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1907-019 DATE 1 t A HL-'1,)-1s- <br /> JOB <br /> ADDRESS 4611 RIVERFRONT BLVD LEGAL DESCRIPTION l�l�b <br /> DESCRIPTION 3/4" METER ONLY,NEW SEWER CONNECTION,SYSTEM DE APN: <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST CONTRACTOR POLYGON WLH LLC <br /> BELLEVUE WA 98005 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> I'1ON[ 4255867700 <br /> PHONE 4255867700 _ <br /> I WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE I-RU\I AGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 3/4" SFR 0.00 SO-14458 APP-19444 <br /> SICI"IER INSTALLATION DAII': BY <br /> METER NO.__ __. _ _ — SIZE #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. I2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND_ MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF_ LOCKED OUT BY __ TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-18095 PERMIT TYPE NEW CONNECTION I LID NO. <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 I <br /> SEWER UTILITY FEE $70.00 [� (' <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 - t..L <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 <br /> WATER UTILITY FEE $520.00 AUG 1 5 2019 <br /> �/ <br /> CITY OF EVERETT <br /> TOTAL FEES $9,668.00 Permit Services <br /> IPERMIT NUMBER U1907-019 e <br /> ADDRESS COPY <br />
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