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miim <br /> imi <br /> UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> t EVERETT,WA 98201 <br /> �_ VI (425)257-8810 <br /> t <br /> PERMIT NUMBER U1907-018 ° DATE <br /> JOB ADDRESS 4613 RIVERFRONT BLVD cisf LEGAL DESCRIPTION <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 NO <br /> 3/4" SFR 0.00 SO-14457 APP-19443 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE 579 #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> IL) <br /> ' <br /> BRAND f MODEL NO. <br /> METER ISTALLAyTONO TE 7 if"' BY 1(/177 1111111111111111111111111111 . <br /> WATER OOI FE LOCKED OUT BY 1564729256 <br /> TSG <br /> 3/4"METER ONLY7! ....Z... <br /> REMARKS: c�. <br /> 1564729256 <br /> ISEWER SERVICE <br /> PERMIT NO. SP-18094 PERMIT TYPE NEW CONNECTION I 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 /> IFEES -#: 1i ( 'Nr :", n n r <br /> NI. a 9.tea't . ,r I I I ,--=A i="v 1 <br /> SEWER UTILITY FEE $70.00 # _ ` <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 AU6 1 6 201911 ,+'a;. 1 5 Imo o r I <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 LI <br /> WATER UTILITY FEE $520.00 r ''w'Kp ; f jy6 ,. <br /> ET <br /> C ;3 Per,:'i .ee`vjc.;fv;s <br /> TOTAL FEES $9,668.00 <br /> IPERMIT NUMBER U1907-018 I <br /> UTILITY BILLING COPY <br />