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u TILITIES TY OF EVERETT <br /> PERMIT SERVICES <br /> •44a PERMIT 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1901-014 DATE <br /> JOB ADDRESS 4603 31ST AVE SE LEGAL DESCRIPTION LOT OF THE PLAT OF THE TOWNS <br /> DESCRIPTION 3/4"METER,NEW SEWER CONNECTION APN: <br /> 29053200102300 <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 <br /> CONTRACTOR POLYGON WLH LLC <br /> BELLEVUE WA 98005 <br /> 11624 SE 5TH ST <br /> BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> PHONE 4255867700 <br /> IWATER SERVICE I <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NO <br /> 3/4" SFR 0.00 SO-14358 APP-19342 <br /> SETTER INSTALLATION DATE BY <br /> METER NO. SIZE 41 BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. <br /> 42 BACKFLOW DEVICE SERIAL NO. <br /> BRAND <br /> MODEL NO. <br /> METER ISTALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY <br /> TSG <br /> 3/4"METER <br /> REMARKS: <br /> SEWER SERVICE I <br /> PERMIT NO. SP-17917 <br /> 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 /> I FEES I <br /> SEWER UTILITY FEE $70.00 <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 •? <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 1 1' iI <br /> WATER UTILITY FEE $520.00 <br /> H JAN 2 11 2019 w <br /> TOTAL FEES $9,668.00 CITY O$' . ;F <br /> w;Err <br /> Permit s,:.; <br /> I PERMIT NUMBER U1901-014 <br /> I <br /> ADDRESS COPY <br />