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= . x` CITY OF EVERETT <br /> UTILITIES <br /> #11P/Al* -2:4 .a « PERMIT SERVICES <br /> NiPERMIT <br /> LMLITY SERE ICES 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> cam- <br /> o 72 2. (425)257-8810 <br /> PERMIT NUMBER U1901-011 DATE <br /> JOB ADDRESS 4524 31ST AVE SE /6 1-.. '33-5 LEGAL DESCRIPTION <br /> DESCRIPTION 3/4"METER ONLY,NEW SEWER CONNECTION APN: <br /> OWNER POLYGON WLH LLC TENANT OVERLOOK AT RIVERFRONT '" <br /> A. 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE WA 98005 CONTRACTOR POLYGON WLH LLC <br /> 11624 SE 5TH ST .,, <br /> PHONE 4255867700 BELLEVUE WA 98005 <br /> PHONE 4255867700 <br /> IWATER SERVICE <br /> SERVICE SIZE SERVICE TYPE FRONTAGE NO.OF UNITS SERVICE ORDER NO. APPLICATION NQ <br /> 3/4" SFR 0.00 SO-14356 APP-19340 <br /> SETTER INSTALLATION/DATE BY <br /> /5 <br /> METER NO. /// 7 320704/2-/7SSIZE5 iP *1 BACKFLOW DEVICE SERIAL NO. <br /> RA. <br /> F.NO. .5 ii .2. e % F I N2 BACKFLOW DEVICE SERIAL NO. <br /> BRAND f\) ,,_ -.`� <br /> ,r "t.e., .1 L/�^ MODEL Na <br /> METER ISTALLATION DATE 'Y ,�`1/j BY A /S <br /> WATER ON K OFF_ LOCKED OUT BY T 8 f TSG <br /> 3/4"METER ONLY <br /> REMARKS: <br /> SEWER SERVICE I <br /> PERMIT NO. SP-17917 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 CONNECTION <br /> INSPECTED BY: I DATE <br /> l <br /> FFEES J <br /> SEWER UTILITY FEE $70.00 I 1 ea4 Lrl . f$" <br /> SYSTEM DEVELOPMENT FEE SEWEF $5,121.00 rd, O!t O1 P/ w <br /> SYSTEM DEVELOPMENT FEE WATEF $3,957.00 <br /> WATER UTILITY FEE $520.00 �' ` e <br /> rIT: <br /> ��'',.,n-hl EVERETT <br /> TOTAL FEES $9,668.00 <br /> 'S-1� / PERMIT NUMBER U1901-011 <br /> I I <br /> UTILITY BILLING COPY <br />