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UTILITIES CITY OF EVERETT <br /> PERMIT SERVICES <br /> • PERMIT 3200 CEDAR STREET <br /> _ EVERETT,WA 98201 C(1** A <br /> C31i , Loa .741 (425)257-8810 <br /> PERMIT NUMBER U1902-004 Stye ' lb i 0 1 Cieg df3KCis 5-61 DATE <br /> JOB ADDRESS 4602 RIVERFRONT BLVD 1/ 9 I 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 /> ' CM 9 1 I h PHONE 4255867700 <br /> 1 WATER SERVICE I <br /> SERVICE SIZE 1 SERVICE TYPEFRONTAGE NO OF UNITS SERVICE ORDER NQ APPLICATION NQ <br /> 3/4" SFR I 0.00 SO-14377 APP-19363 <br /> SETTER INSTALLATION DATE Q p'y ^/ BY <br /> METER NO. 1' (..,7 <br /> S!,C)--6-1 S U�je0\3°� SIZE 51 g SI BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. \ L ',()1 8 )'3 . *2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND �WC-Lk-Mt ` p g MODEL NO. <br /> METER ISTALLATION DATE V I /-1 11 1 BY Lt 2_I�o <br /> WATER ON/OFF_ LOCKED OUT BY T 6ye`// TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-17946 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: ( DATE <br /> IFEES <br /> SEWER UTILITY FEE $70.00 4 f r i I r n , " ' <br /> $5,121.00 <br /> SYSTEM DEVELOPMENT FEE SEWEI k,%„,",= ' " , " <br /> i <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 H <br /> WATER UTILITY FEE $520.00 ,_ I I t 1 <br /> B <br /> L i_s <br /> CK CITY l',T. <br /> F��;' "aa."..`I'. ,. <br /> T",, I ifa�� <br /> TOTAL FEES $9,668.00 Cr; <br /> IPERMIT NUMBER U1902-004 I <br /> UTILITY BILLING COPY <br />