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milmilii <br /> ■mi ILITIES ( FY OF EVERETT <br /> EVERETT PERMIT SERVICES <br /> WASHINGTON PERMIT <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (425)257-8810 <br /> PERMIT NUMBER U1906-033 DATE: 0 3 JUL 2019 <br /> JOB ADDRESS 4619 31ST AVE SE LEGAL DESCRIPTION <br /> DESCRIPTION 3/4" METER ONLY,NEW SEWER CONNECTION, SYSTEM DI APN: 00574700100102 <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT <br /> 11624 SE 5TH ST SUITE 100 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-14450 APP-19436 <br /> SETTER INSTALLATION DATE _ BY <br /> METER NO. _ SIZE II BACKFLOW DEVICE SERIAL NO. <br /> R.F.NO. #2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND MODEL NO. <br /> METER[STALLATION DATE BY <br /> WATER ON OFF LOCKED OUT BY TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> ISEWER SERVICE I <br /> PERMIT NO. SP-18074 PERMIT TYPE NEW CONNECTION I 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 SEWER CONNECTION <br /> I\SPECTLD 111' I DATE <br /> FEES 2 5 uli (a7 9 I <br /> SEWER UTILITY FEE $70.00 JUL 3 �oS <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 I <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 i T Y O i+ V E R E TT <br /> WATER UTILITY FEE $520.00 <br /> Permit Services <br /> TOTAL FEES $9,668.00 <br /> IPERMIT NUMBER U1906-033 <br /> ADDRESS COPY <br />