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mimi <br /> un <br /> UTILITIES CITY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> ("). --1'62—:\ .JJ1 L l� \ -.. OA CI Lu+ ' --0 (425)257-8810 <br /> PERMIT NUMBER U1907-025 1 1,L° ' ,1 C-. DATE <br /> JOB ADDRESS 4614 RI VERFRONT BLVD C' ;V �',•''_ 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 CONTRACTOR POLYGON WLH LLC <br /> BELLEVUE WA 98005 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 3/4" SFR 0.00 SO-14465 APP-19451 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE VI? #1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. P,/ J #2 BACKFLOW DEVICE SERIAL NO <br /> . <br /> BRAND i_/� 'yv-J/. MODEL NO. <br /> METER ISTALLAT N D BY <br /> WATER O OFF LOCKED OUT BY TSG <br /> 3/4"METER ONLY <br /> REMARKS: (� <br /> /J IIIIIIIIIIIIIII11ii1111111111 <br /> 1564707696 <br /> SEWER SERVICE <br /> PERMIT NO. SP-18102 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 I <br /> SEWER UTILITY FEE $70.00 H j ti t !!Fl r7 ,-- <br /> SYSTEM DEVELOPMENT FEE SEWEI $5,121.00 i del <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00s AUti <br /> 2 <br /> WATER UTILITY FEE <br /> $520.00 M :1ti 1 j 19 ;J <br /> :- CITY 01- EVERETT <br /> Permit;' '4'f*rhes <br /> TOTAL,FEES $9,668.00 <br /> I <br /> PERMIT NUMBER U1907-025 I <br /> UTILITY BILLING COPY <br />