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UTILITIES CITY OF EVERETT <br /> A°1111P <br /> PERMIT SERVICES <br /> PERMIT 3200 CEDAR STREET <br /> i 7-ii D EVERETT,WA 98201 <br /> J I (425)257-8810 <br /> PERMIT NUMBER U1812-015 DATE <br /> JOB ADDRESS 4523 31ST AVE SE LEGAL DESCRIPTION LOT OF THE PLAT OF THE TOWNS <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION APN: 29053200102300 <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 SUITE 100 <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> WATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 3/4" DOM/FI 0.00 SO-14350 APP-19336 <br /> Shl I ER INSTALLATION DATE � BY C, <br /> METER NO. 5�-e 3 Z_8-6-1.'/5(c)SIZE ✓/ F *1 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. t 5 CC 3 2_c5 `S(0 111 ill BACKFLOW DEVICE SERIAL NO. <br /> BRAND R MODEL NO. <br /> METER ISTALLATION DATE -Zv r(-( BY Ai ( <br /> WATER ON)FF_ LOCKED OUT BY 12-4 TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> SEWER SERVICE <br /> PERMIT NO. SP-17899 PERMITTIPE <br /> NEW CONNECTION 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 CONNECTION <br /> INSPECTED BY: I DATE <br /> FEES _ I <br /> SEWER UTILITY FEE $70.00 <br /> WATER UTILITY FEE $520.00 <br /> JAN - 4 2019 <br /> CITY OF EVERET <br /> Permit services <br /> TOTAL FEES $590.00 <br /> IPERMIT NUMBER U1812-015 <br /> UTILITY BILLING COPY <br />